- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $40.74 / $69.18
| Facility | | $14.79 | $40.74 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $28.84
| Professional | | $10.00 | $12.88 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.18 / $93.33 / $5,011.87
| Facility | | $69.18 | $93.33 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $13.18
| Professional | | $12.59 | $12.59 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $24.55 / $54.95
| Facility | | $10.72 | $24.55 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $16.98 / $23.99
| Professional | | $8.13 | $16.98 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $9.33 / $22.91
| Professional | | $7.59 | $9.33 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $15.85
| Facility | | $15.85 | $15.85 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $15.85 / $27.54
| Professional | | $13.80 | $15.85 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $39.81 / $69.18
| Facility | | $14.79 | $39.81 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $15.14 / $46.77
| Professional | | $10.72 | $15.14 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $17.38 / $19.95
| Facility | | $14.45 | $17.38 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $16.98 / $19.95
| Professional | | $11.75 | $16.98 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $15.85 / $19.05
| Facility | | $8.91 | $15.85 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.55 / $23.99
| Professional | | $6.76 | $9.55 | $23.99 |