- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $53.70 / $177.83
| Facility | | $10.96 | $53.70 | $177.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.30 / $19.50
| Professional | | $8.91 | $12.30 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $8.71 / $12.30
| Professional | | $6.92 | $8.71 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $48.98 / $87.10
| Facility | | $19.50 | $48.98 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.94 / $13.18
| Professional | | $5.01 | $7.94 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.79 / $22.91
| Professional | | $10.00 | $14.79 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $14.45
| Facility | | $14.13 | $14.13 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $31.62 / $75.86
| Facility | | $14.13 | $31.62 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.47 / $23.99
| Professional | | $7.59 | $10.47 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.62 / $77.62 / $77.62
| Facility | | $77.62 | $77.62 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $14.45 / $75.86
| Facility | | $10.96 | $14.45 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.88 / $19.05
| Professional | | $7.94 | $12.88 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $12.02 / $12.02
| Professional | | $10.72 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $14.45 / $41.69
| Facility | | $11.48 | $14.45 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $10.47 / $23.99
| Professional | | $8.13 | $10.47 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $8.71 / $14.45
| Facility | | $5.13 | $8.71 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.51 / $12.30
| Professional | | $6.03 | $8.51 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $14.45
| Professional | | $5.62 | $5.62 | $14.45 |