- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.79 / $34.15 / $75.55
| Facility | | $12.79 | $34.15 | $75.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $13.14 / $40.95
| Professional | | $4.32 | $13.14 | $40.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $15.05 / $39.13
| Facility | | $15.05 | $15.05 | $39.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $7.44 / $21.68
| Professional | | $3.21 | $7.44 | $21.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $15.05 / $15.05
| Facility | | $9.02 | $15.05 | $15.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.99 / $15.05 / $15.05
| Professional | | $10.99 | $15.05 | $15.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $31.62 / $62.53
| Facility | | $10.52 | $31.62 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $16.80 / $88.13
| Professional | | $11.28 | $16.80 | $88.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $19.57 / $332.00
| Facility | | $7.60 | $19.57 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $8.96 / $27.54
| Professional | | $6.88 | $8.96 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.79 / $16.04
| Professional | | $8.11 | $12.79 | $16.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $29.36 / $42.86
| Facility | | $10.02 | $29.36 | $42.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.67 / $36.61 / $204.21
| Facility | | $14.67 | $36.61 | $204.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $11.87 / $31.00
| Professional | | $5.48 | $11.87 | $31.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.98 / $22.81
| Professional | | $5.25 | $7.98 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.30 / $17.30 / $35.95
| Facility | | $17.30 | $17.30 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $13.02 / $18.09
| Professional | | $8.82 | $13.02 | $18.09 |