- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.82 / $60.36 / $110.47
| Facility | | $10.82 | $60.36 | $110.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $11.28 / $15.54
| Professional | | $8.42 | $11.28 | $15.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $7.77 / $12.95
| Professional | | $6.22 | $7.77 | $12.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $40.65 / $76.41
| Facility | | $14.25 | $40.65 | $76.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.12 / $9.83
| Professional | | $5.00 | $7.12 | $9.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $20.07 / $90.75
| Facility | | $11.66 | $20.07 | $90.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $13.25 / $20.72
| Professional | | $9.71 | $13.25 | $20.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.82 / $12.82 / $12.95
| Facility | | $12.82 | $12.82 | $12.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $28.29 / $58.78
| Facility | | $9.05 | $28.29 | $58.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.68 / $19.61
| Professional | | $6.86 | $9.68 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.51 / $61.51 / $80.00
| Facility | | $61.51 | $61.51 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.62 / $18.89 / $21.46
| Professional | | $11.62 | $18.89 | $21.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $12.95 / $27.95
| Facility | | $10.36 | $12.95 | $27.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $12.95 / $16.87
| Professional | | $11.66 | $12.95 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.74 / $115.96 / $257.00
| Facility | | $84.74 | $115.96 | $257.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.36 / $12.95 / $32.56
| Facility | | $10.36 | $12.95 | $32.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $10.07 / $18.54
| Professional | | $6.86 | $10.07 | $18.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $7.40 / $10.57
| Professional | | $5.44 | $7.40 | $10.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.39 / $12.95
| Professional | | $5.05 | $6.39 | $12.95 |