- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $43.65 / $131.83
| Facility | | $10.72 | $43.65 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $11.75 / $22.39
| Professional | | $8.91 | $11.75 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $22.39
| Professional | | $12.30 | $12.30 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $48.98 / $85.11
| Facility | | $19.50 | $48.98 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.94 / $13.80
| Professional | | $5.01 | $7.94 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $21.38 / $87.10
| Facility | | $13.18 | $21.38 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $15.14 / $15.14
| Facility | | $14.45 | $15.14 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $31.62 / $75.86
| Facility | | $14.13 | $31.62 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.23 / $23.99
| Professional | | $7.59 | $10.23 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $75.86 / $75.86
| Facility | | $75.86 | $75.86 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $14.45 / $77.62
| Facility | | $10.96 | $14.45 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.88 / $21.88
| Professional | | $7.94 | $12.88 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $12.02 / $12.02
| Professional | | $10.72 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $14.45 / $42.66
| Facility | | $11.48 | $14.45 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $10.47 / $23.99
| Professional | | $8.13 | $10.47 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $8.71 / $14.45
| Facility | | $5.13 | $8.71 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.51 / $12.30
| Professional | | $6.03 | $8.51 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $14.45
| Professional | | $5.62 | $5.62 | $14.45 |