- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $69.17 / $154.58
| Facility | | $14.12 | $69.17 | $154.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $10.19 / $13.60
| Professional | | $7.18 | $10.19 | $13.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $7.06 / $8.18
| Professional | | $5.65 | $7.06 | $8.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $36.96 / $68.92
| Facility | | $12.95 | $36.96 | $68.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.47 / $8.71
| Professional | | $5.00 | $6.47 | $8.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.59 / $16.27 / $104.30
| Facility | | $10.59 | $16.27 | $104.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $14.32 / $20.01
| Professional | | $8.83 | $14.32 | $20.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $12.36 / $12.36
| Facility | | $11.77 | $12.36 | $12.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.22 / $25.86 / $59.51
| Facility | | $8.22 | $25.86 | $59.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $8.66 / $24.55
| Professional | | $6.24 | $8.66 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $11.77 / $17.50
| Facility | | $9.42 | $11.77 | $17.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $11.77 / $15.34
| Professional | | $10.59 | $11.77 | $15.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $135.04 / $184.81 / $489.56
| Facility | | $135.04 | $184.81 | $489.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $11.77 / $29.34
| Facility | | $9.42 | $11.77 | $29.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $9.06 / $17.00
| Professional | | $6.24 | $9.06 | $17.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $6.90 / $10.11
| Professional | | $4.94 | $6.90 | $10.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $5.82 / $11.77
| Professional | | $4.59 | $5.82 | $11.77 |