- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $36.34 / $99.98
| Facility | | $9.73 | $36.34 | $99.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $11.13 / $46.76
| Professional | | $7.73 | $11.13 | $46.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $8.94 / $8.94
| Professional | | $7.73 | $8.94 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.55 / $40.88 / $68.14
| Facility | | $14.55 | $40.88 | $68.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.83 / $11.46
| Professional | | $5.00 | $6.83 | $11.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.32 / $48.97
| Facility | | $12.88 | $19.32 | $48.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $29.00 / $29.00
| Facility | | $12.88 | $29.00 | $29.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $28.29 / $64.77
| Facility | | $9.00 | $28.29 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.39 / $21.88
| Professional | | $6.83 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $143.59 / $182.58 / $182.58
| Facility | | $143.59 | $182.58 | $182.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.88 / $16.73
| Facility | | $10.29 | $12.88 | $16.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $12.88 / $16.79
| Professional | | $11.59 | $12.88 | $16.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.88 / $30.58
| Facility | | $10.29 | $12.88 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.90 / $18.46
| Professional | | $6.83 | $9.90 | $18.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.38 / $8.63
| Professional | | $5.41 | $7.38 | $8.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.36 / $12.88
| Professional | | $5.01 | $6.36 | $12.88 |