- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $66.07 / $144.54
| Facility | | $15.85 | $66.07 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $12.30 / $74.13
| Professional | | $8.32 | $12.30 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.76 / $17.78
| Professional | | $5.62 | $7.76 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $26.30 / $56.23
| Facility | | $6.46 | $26.30 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $9.77 / $31.62
| Professional | | $5.62 | $9.77 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $70.79 / $151.36
| Facility | | $25.70 | $70.79 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.88 / $32.36
| Professional | | $8.91 | $12.88 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $19.05 / $41.69
| Facility | | $7.59 | $19.05 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $11.22 / $19.05
| Professional | | $6.76 | $11.22 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $11.22 / $18.20
| Professional | | $10.00 | $11.22 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $11.22 / $25.70
| Professional | | $8.91 | $11.22 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.26 / $60.26 / $60.26
| Facility | | $60.26 | $60.26 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $10.72 / $19.95
| Professional | | $9.55 | $10.72 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $13.49 / $13.49
| Professional | | $6.76 | $13.49 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $13.49 / $35.48
| Facility | | $9.33 | $13.49 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $10.47 / $25.70
| Professional | | $6.76 | $10.47 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $39.81
| Professional | | $39.81 | $39.81 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $11.48 / $19.05
| Professional | | $8.91 | $11.48 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $6.76 / $11.22
| Facility | | $5.13 | $6.76 | $11.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $6.76 / $22.39
| Professional | | $4.68 | $6.76 | $22.39 |