- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $33.88 / $239.88
| Facility | | $11.48 | $33.88 | $239.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.23 / $72.44
| Professional | | $7.94 | $10.23 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $16.22 / $69.18
| Facility | | $10.47 | $16.22 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $11.48 / $23.99
| Professional | | $5.25 | $11.48 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $28.18 / $44.67
| Facility | | $22.39 | $28.18 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $14.79
| Professional | | $10.72 | $10.72 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $18.20 / $44.67
| Facility | | $8.91 | $18.20 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $11.48 / $19.50
| Professional | | $8.32 | $11.48 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $3,630.78 / $9,772.37
| Facility | | $16.60 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $19.05
| Professional | | $16.22 | $16.22 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $34.67
| Professional | | $11.48 | $11.48 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $47.86 / $47.86
| Facility | | $12.02 | $47.86 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $16.22 / $69.18
| Facility | | $10.47 | $16.22 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $11.48 / $23.99
| Professional | | $5.50 | $11.48 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $11.48 / $18.62
| Facility | | $6.61 | $11.48 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.55 / $27.54
| Professional | | $5.25 | $9.55 | $27.54 |