- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $59.66 / $135.63
| Facility | | $12.61 | $59.66 | $135.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.98 / $9.81 / $12.95
| Professional | | $6.98 | $9.81 | $12.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.40 / $6.76 / $7.82
| Professional | | $5.40 | $6.76 | $7.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.84 / $36.03 / $67.45
| Facility | | $12.84 | $36.03 | $67.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $5.97 / $10.81
| Professional | | $5.00 | $5.97 | $10.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $17.45 / $73.47
| Facility | | $10.70 | $17.45 | $73.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $11.46 / $27.99
| Professional | | $8.44 | $11.46 | $27.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $44.45 / $44.45
| Facility | | $11.26 | $44.45 | $44.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.86 / $24.74 / $56.85
| Facility | | $7.86 | $24.74 | $56.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $8.30 / $23.53
| Professional | | $5.97 | $8.30 | $23.53 |
- 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
- $9.01 / $11.26 / $16.98
| Facility | | $9.01 | $11.26 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $11.26 / $15.62
| Professional | | $10.13 | $11.26 | $15.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $426.90 / $583.47 / $1,773.32
| Facility | | $426.90 | $583.47 | $1,773.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $11.26 / $28.31
| Facility | | $9.01 | $11.26 | $28.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $8.67 / $16.13
| Professional | | $5.97 | $8.67 | $16.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $6.48 / $10.50
| Professional | | $4.73 | $6.48 | $10.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $5.56 / $11.26
| Professional | | $4.38 | $5.56 | $11.26 |