- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.43 / $53.19 / $183.85
| Facility | | $10.43 | $53.19 | $183.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $11.60 / $23.20
| Professional | | $10.30 | $11.60 | $23.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $7.73 / $7.73
| Professional | | $7.73 | $7.73 | $7.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.53 / $66.73 / $7,195.57
| Facility | | $26.53 | $66.73 | $7,195.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.97 / $84.36 / $8,639.91
| Facility | | $64.97 | $84.36 | $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 / $7.60 / $17.44
| Professional | | $5.92 | $7.60 | $17.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.60 / $124.60
| Facility | | $21.09 | $33.60 | $124.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $12.50 / $12.50
| Professional | | $7.73 | $12.50 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.82 / $63.24 / $140.99
| Facility | | $24.82 | $63.24 | $140.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $36.51 / $132.68
| Facility | | $10.42 | $36.51 | $132.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $11.68 / $32.52
| Professional | | $10.18 | $11.68 | $32.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,358.20 / $1,358.20 / $1,358.20
| Facility | | $1,358.20 | $1,358.20 | $1,358.20 |
- 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 / $18.34
| Professional | | $11.33 | $12.88 | $18.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.90 / $22.57
| Professional | | $5.41 | $7.90 | $22.57 |