- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $23.26 / $64.48
| Facility | | $9.42 | $23.26 | $64.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.98 / $9.35 / $14.95
| Professional | | $6.98 | $9.35 | $14.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.38 / $41.12 / $75.01
| Facility | | $15.38 | $41.12 | $75.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.60 / $9.97
| Professional | | $5.00 | $6.60 | $9.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.46 / $19.30 / $69.95
| Facility | | $12.46 | $19.30 | $69.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.72 / $12.46 / $19.45
| Professional | | $8.72 | $12.46 | $19.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.46 / $12.46 / $14.36
| Facility | | $12.46 | $12.46 | $14.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $27.56 / $63.45
| Facility | | $11.25 | $27.56 | $63.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $9.02 / $20.79
| Professional | | $6.99 | $9.02 | $20.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $85.00 / $338.00
| Facility | | $55.00 | $85.00 | $338.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.97 / $12.46 / $16.20
| Facility | | $9.97 | $12.46 | $16.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $12.46 / $16.23
| Professional | | $11.92 | $12.46 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $12.46 / $31.63
| Facility | | $10.00 | $12.46 | $31.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $9.59 / $18.07
| Professional | | $6.99 | $9.59 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $7.13 / $12.46
| Professional | | $5.23 | $7.13 | $12.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $6.15 / $12.46
| Professional | | $4.86 | $6.15 | $12.46 |