- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.44 / $62.83 / $119.44
| Facility | | $25.44 | $62.83 | $119.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.88 / $23.87 / $26.78
| Professional | | $19.88 | $23.87 | $26.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.78 / $26.78 / $69.63
| Facility | | $26.78 | $26.78 | $69.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $16.20 / $60.43
| Professional | | $11.84 | $16.20 | $60.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $26.78 / $26.78
| Facility | | $16.07 | $26.78 | $26.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $26.78 / $26.78
| Professional | | $19.55 | $26.78 | $26.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.71 / $56.58 / $275.58
| Facility | | $18.71 | $56.58 | $275.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $29.95 / $172.61
| Professional | | $19.95 | $29.95 | $172.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.10 / $37.49 / $332.00
| Facility | | $20.10 | $37.49 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.24 / $16.07 / $49.01
| Professional | | $12.24 | $16.07 | $49.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.40 / $23.40 / $23.40
| Facility | | $23.40 | $23.40 | $23.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.40 / $25.54 / $32.19
| Professional | | $23.40 | $25.54 | $32.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.97 / $73.94 / $92.42
| Facility | | $21.97 | $73.94 | $92.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $65.56 / $319.72
| Facility | | $24.55 | $65.56 | $319.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.35 / $36.00 / $55.17
| Professional | | $21.35 | $36.00 | $55.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.25 / $16.07 / $40.17
| Professional | | $11.25 | $16.07 | $40.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.80 / $30.80 / $98.63
| Facility | | $30.80 | $30.80 | $98.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.59 / $28.97 / $35.54
| Professional | | $23.59 | $28.97 | $35.54 |