- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $23.99 / $66.07
| Facility | | $8.91 | $23.99 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $15.49
| Professional | | $7.08 | $10.00 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $40.74 / $72.44
| Facility | | $15.85 | $40.74 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.08 / $12.88
| Professional | | $5.01 | $7.08 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $12.88 / $12.88
| Facility | | $9.33 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $28.18 / $67.61
| Facility | | $12.59 | $28.18 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.12 / $21.88
| Professional | | $6.76 | $9.12 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.79 / $128.82 / $128.82
| Facility | | $70.79 | $128.82 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $12.88 / $23.99
| Facility | | $9.77 | $12.88 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $11.48 / $16.60
| Professional | | $7.08 | $11.48 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $10.72 / $33.11
| Professional | | $9.55 | $10.72 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $12.88 / $38.02
| Facility | | $10.23 | $12.88 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $9.33 / $21.88
| Professional | | $7.41 | $9.33 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.68 / $7.76 / $12.88
| Facility | | $4.68 | $7.76 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.59 / $10.47
| Professional | | $5.37 | $7.59 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $12.88
| Professional | | $5.01 | $5.01 | $12.88 |