- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $44.67 / $97.72
| Facility | | $18.20 | $44.67 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $11.75 / $37.15
| Professional | | $8.91 | $11.75 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.20 / $64.57
| Facility | | $12.02 | $18.20 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $13.18 / $27.54
| Professional | | $5.50 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $32.36 / $51.29
| Facility | | $25.70 | $32.36 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $16.60
| Professional | | $12.30 | $12.30 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $20.89 / $50.12
| Facility | | $10.23 | $20.89 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.22 / $22.39
| Professional | | $9.55 | $16.22 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $3,630.78 / $9,772.37
| Facility | | $18.62 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $21.88
| Professional | | $18.62 | $18.62 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $39.81
| Professional | | $13.18 | $13.18 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $19.50 / $74.13
| Facility | | $15.49 | $19.50 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.20 / $64.57
| Facility | | $12.02 | $18.20 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $13.18 / $27.54
| Professional | | $6.31 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $13.49 / $25.12
| Facility | | $11.48 | $13.49 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.49 / $19.50
| Professional | | $11.48 | $13.49 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $13.18 / $21.38
| Facility | | $7.41 | $13.18 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.96 / $30.90
| Professional | | $5.25 | $10.96 | $30.90 |