- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $49.78 / $133.35
| Facility | | $19.05 | $49.78 | $133.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $11.60 / $23.38
| Professional | | $8.66 | $11.60 | $23.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $7.73 / $21.25
| Professional | | $7.73 | $7.73 | $21.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.04 / $37.76 / $642.12
| Facility | | $14.04 | $37.76 | $642.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.39 / $64.14 / $8,639.91
| Facility | | $49.39 | $64.14 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.05 / $10.05 / $10.05
| Professional | | $10.05 | $10.05 | $10.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.14 / $42.38
| Facility | | $8.46 | $17.14 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $10.30 / $17.44
| Professional | | $5.92 | $10.30 | $17.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $32.01 / $63.51
| Facility | | $17.84 | $32.01 | $63.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.50 / $10.95
| Professional | | $7.73 | $9.50 | $10.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.04 / $34.95 / $79.77
| Facility | | $14.04 | $34.95 | $79.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.56 / $44.80 / $138.21
| Facility | | $13.56 | $44.80 | $138.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $11.68 / $23.38
| Professional | | $9.66 | $11.68 | $23.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $19.57 / $42.38
| Facility | | $8.61 | $19.57 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $12.88 / $13.94
| Professional | | $11.33 | $12.88 | $13.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.73 / $22.41
| Professional | | $5.41 | $7.73 | $22.41 |