- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $55.14 / $124.66
| Facility | | $12.35 | $55.14 | $124.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $11.68 / $25.76
| Professional | | $9.66 | $11.68 | $25.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $8.94 / $23.83
| Professional | | $7.73 | $8.94 | $23.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.52 / $24.99 / $521.94
| Facility | | $13.52 | $24.99 | $521.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $11.72 / $24.47
| Professional | | $6.36 | $11.72 | $24.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $26.37 / $37.67
| Facility | | $8.91 | $26.37 | $37.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.97 / $25.81
| Professional | | $8.94 | $16.97 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $12.43 / $13.67
| Professional | | $9.16 | $12.43 | $13.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $13.52 / $28.43
| Facility | | $12.88 | $13.52 | $28.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.32 / $35.42
| Facility | | $12.88 | $19.32 | $35.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $11.59 / $11.59
| Professional | | $11.59 | $11.59 | $11.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.81 / $21.25 / $35.42
| Facility | | $14.81 | $21.25 | $35.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $12.88 / $35.03
| Professional | | $9.66 | $12.88 | $35.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $5.41 / $12.88
| Professional | | $5.41 | $5.41 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $5.80 / $6.67
| Professional | | $5.80 | $5.80 | $6.67 |