- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $45.98 / $101.72
| Facility | | $9.80 | $45.98 | $101.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $11.15 / $25.80
| Professional | | $7.74 | $11.15 | $25.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $7.74 / $8.96
| Professional | | $7.74 | $7.74 | $8.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $41.15 / $74.43
| Facility | | $14.58 | $41.15 | $74.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.84 / $11.58
| Professional | | $5.00 | $6.84 | $11.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $20.00 / $45.92
| Facility | | $12.90 | $20.00 | $45.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $12.85 / $20.36
| Professional | | $9.68 | $12.85 | $20.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.77 / $12.77 / $12.90
| Facility | | $12.77 | $12.77 | $12.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $28.36 / $64.77
| Facility | | $9.02 | $28.36 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $9.39 / $21.88
| Professional | | $6.84 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $90.95 / $90.95
| Facility | | $55.00 | $90.95 | $90.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.90 / $17.55
| Facility | | $10.29 | $12.90 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $12.90 / $15.98
| Professional | | $11.61 | $12.90 | $15.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $12.90 / $30.58
| Facility | | $10.29 | $12.90 | $30.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $9.92 / $18.48
| Professional | | $6.84 | $9.92 | $18.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $9.53 / $16.13
| Facility | | $4.51 | $9.53 | $16.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.38 / $10.54
| Professional | | $5.42 | $7.38 | $10.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.37 / $12.90
| Professional | | $5.03 | $6.37 | $12.90 |