- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $30.20 / $69.18
| Facility | | $8.91 | $30.20 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $15.14
| Professional | | $7.08 | $10.00 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.41 / $10.23
| Professional | | $5.75 | $7.41 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $40.74 / $69.18
| Facility | | $16.22 | $40.74 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.61 / $11.75
| Professional | | $5.01 | $6.61 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $17.78 / $87.10
| Facility | | $10.96 | $17.78 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $12.02
| Facility | | $12.02 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $26.30 / $64.57
| Facility | | $11.75 | $26.30 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.71 / $20.42
| Professional | | $6.31 | $8.71 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.98 / $194.98 / $194.98
| Facility | | $194.98 | $194.98 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $12.02 / $51.29
| Facility | | $9.12 | $12.02 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.72 / $15.49
| Professional | | $7.08 | $10.72 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $10.00
| Professional | | $8.91 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $12.02 / $35.48
| Facility | | $9.55 | $12.02 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.71 / $20.42
| Professional | | $6.76 | $8.71 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $7.94 / $12.02
| Facility | | $4.27 | $7.94 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $11.48
| Professional | | $5.01 | $7.08 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $12.02
| Professional | | $4.68 | $4.68 | $12.02 |