- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.40 / $33.13 / $65.73
| Facility | | $12.40 | $33.13 | $65.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $12.85 / $25.12
| Professional | | $10.31 | $12.85 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $14.39 / $37.40
| Facility | | $14.39 | $14.39 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $8.63 / $30.59
| Professional | | $6.37 | $8.63 | $30.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.63 / $14.39 / $14.39
| Facility | | $8.63 | $14.39 | $14.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $14.39 / $14.39
| Professional | | $10.50 | $14.39 | $14.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $30.19 / $146.72
| Facility | | $10.06 | $30.19 | $146.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $16.07 / $91.81
| Professional | | $10.63 | $16.07 | $91.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $18.71 / $332.00
| Facility | | $7.00 | $18.71 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $8.63 / $26.33
| Professional | | $6.58 | $8.63 | $26.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.39 / $14.39 / $14.39
| Facility | | $14.39 | $14.39 | $14.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $14.39 / $18.55
| Professional | | $8.80 | $14.39 | $18.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.60 / $3.60 / $3.60
| Professional | | $3.60 | $3.60 | $3.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.58 / $25.49 / $54.51
| Facility | | $11.58 | $25.49 | $54.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.03 / $34.90 / $192.38
| Facility | | $14.03 | $34.90 | $192.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $17.86 / $29.64
| Professional | | $11.47 | $17.86 | $29.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.63 / $22.59
| Professional | | $6.04 | $8.63 | $22.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $16.55 / $34.79
| Facility | | $16.55 | $16.55 | $34.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $13.82 / $24.10
| Professional | | $8.52 | $13.82 | $24.10 |