- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.94 / $24.59 / $40.04
| Facility | | $11.94 | $24.59 | $40.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $11.94 / $13.27
| Professional | | $10.43 | $11.94 | $13.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.05 / $14.05 / $36.53
| Facility | | $14.05 | $14.05 | $36.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $8.50 / $31.70
| Professional | | $6.70 | $8.50 | $31.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.43 / $14.05 / $14.05
| Facility | | $8.43 | $14.05 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $14.05 / $14.05
| Professional | | $10.26 | $14.05 | $14.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.81 / $29.47 / $143.78
| Facility | | $9.81 | $29.47 | $143.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $15.71 / $89.98
| Professional | | $10.41 | $15.71 | $89.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $20.07 / $332.00
| Facility | | $11.60 | $20.07 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $8.43 / $25.71
| Professional | | $6.42 | $8.43 | $25.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $12.63 / $12.63
| Facility | | $12.63 | $12.63 | $12.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $13.49 / $18.39
| Professional | | $12.22 | $13.49 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.01 / $32.01 / $32.01
| Facility | | $32.01 | $32.01 | $32.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $34.04 / $188.51
| Facility | | $13.73 | $34.04 | $188.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.27 / $19.30 / $28.94
| Professional | | $11.27 | $19.30 | $28.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.65 / $12.65 / $14.05
| Facility | | $12.65 | $12.65 | $14.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $8.43 / $21.29
| Professional | | $5.90 | $8.43 | $21.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.16 / $16.16 / $51.08
| Facility | | $16.16 | $16.16 | $51.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $15.78 / $22.90
| Professional | | $12.22 | $15.78 | $22.90 |