- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $63.10 / $154.88
| Facility | | $18.62 | $63.10 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $11.75 / $34.67
| Professional | | $10.00 | $11.75 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $524.81
| Facility | | $11.75 | $18.20 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $12.88 / $26.92
| Professional | | $5.37 | $12.88 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $31.62 / $50.12
| Facility | | $25.12 | $31.62 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $16.60
| Professional | | $12.02 | $12.02 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $20.42 / $50.12
| Facility | | $10.00 | $20.42 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.85 / $21.88
| Professional | | $9.33 | $15.85 | $21.88 |
- 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
- $12.88 / $12.88 / $38.90
| Professional | | $12.88 | $12.88 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $19.50 / $141.25
| Facility | | $15.14 | $19.50 | $141.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $524.81
| Facility | | $11.75 | $18.20 | $524.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $12.88 / $26.92
| Professional | | $6.17 | $12.88 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $15.49 / $29.51
| Facility | | $11.48 | $15.49 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.18 / $19.50
| Professional | | $11.48 | $13.18 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.88 / $20.89
| Facility | | $7.41 | $12.88 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.72 / $30.90
| Professional | | $5.25 | $10.72 | $30.90 |