- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $44.67 / $95.50
| Facility | | $11.22 | $44.67 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.47 / $26.92
| Professional | | $7.94 | $10.47 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.03 / $7.59
| Professional | | $5.37 | $6.03 | $7.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $57.54 / $5,011.87
| Facility | | $43.65 | $57.54 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $9.33
| Professional | | $9.33 | $9.33 | $9.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $16.22 / $36.31
| Facility | | $8.32 | $16.22 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $11.75 / $15.14
| Professional | | $5.50 | $11.75 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.08 / $17.38
| Professional | | $5.62 | $7.08 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $12.02
| Facility | | $12.02 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $10.72 / $20.89
| Professional | | $9.12 | $10.72 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $28.84 / $64.57
| Facility | | $16.22 | $28.84 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.94 / $9.12
| Professional | | $7.24 | $7.94 | $9.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $42.66 / $95.50
| Facility | | $10.23 | $42.66 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.72 / $32.36
| Professional | | $7.94 | $10.72 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $10.23 / $22.39
| Facility | | $9.12 | $10.23 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.23 / $13.18
| Professional | | $6.46 | $10.23 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $12.02 / $14.45
| Facility | | $6.61 | $12.02 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.24 / $18.20
| Professional | | $5.13 | $7.24 | $18.20 |