- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $28.65 / $63.19
| Facility | | $14.32 | $28.65 | $63.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.32 / $14.32 / $33.70
| Professional | | $4.32 | $14.32 | $33.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $43.81
| Facility | | $16.85 | $16.85 | $43.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.21 / $7.16 / $22.74
| Professional | | $3.21 | $7.16 | $22.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $16.85 / $16.85
| Facility | | $10.11 | $16.85 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $16.85 / $16.85
| Professional | | $12.30 | $16.85 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $33.90 / $62.53
| Facility | | $14.34 | $33.90 | $62.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $17.17 / $93.66
| Professional | | $11.15 | $17.17 | $93.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $21.91 / $332.00
| Facility | | $7.60 | $21.91 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $10.02 / $30.84
| Professional | | $7.70 | $10.02 | $30.84 |
- 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 / $12.96 / $18.05
| Professional | | $8.11 | $12.96 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $35.39 / $45.61
| Facility | | $13.24 | $35.39 | $45.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.43 / $40.86 / $196.36
| Facility | | $16.43 | $40.86 | $196.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $11.87 / $34.71
| Professional | | $5.48 | $11.87 | $34.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.08 / $24.75
| Professional | | $5.25 | $7.08 | $24.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $19.38 / $35.95
| Facility | | $19.38 | $19.38 | $35.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $13.93 / $20.25
| Professional | | $8.82 | $13.93 | $20.25 |