- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $28.65 / $48.02
| Facility | | $14.32 | $28.65 | $48.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $14.33 / $17.39
| Professional | | $11.34 | $14.33 | $17.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $43.81
| Facility | | $16.85 | $16.85 | $43.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $10.11 / $32.31
| Professional | | $8.32 | $10.11 | $32.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $16.85 / $16.85
| Facility | | $10.11 | $16.85 | $16.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $16.85 / $16.85
| Professional | | $12.30 | $16.85 | $16.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $33.90 / $43.46
| Facility | | $11.77 | $33.90 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $16.14 / $81.22
| Professional | | $11.47 | $16.14 | $81.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.03 / $24.35 / $332.00
| Facility | | $15.03 | $24.35 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $10.11 / $30.84
| Professional | | $6.74 | $10.11 | $30.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $16.07 / $16.07
| Facility | | $16.07 | $16.07 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.35 / $16.07 / $20.52
| Professional | | $13.35 | $16.07 | $20.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.07 / $49.07 / $49.07
| Facility | | $49.07 | $49.07 | $49.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.44 / $40.86 / $254.50
| Facility | | $15.44 | $40.86 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.52 / $15.60 / $30.63
| Professional | | $13.52 | $15.60 | $30.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.67 / $25.28
| Professional | | $7.08 | $9.67 | $25.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.38 / $19.38 / $27.24
| Facility | | $19.38 | $19.38 | $27.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $17.82 / $20.91
| Professional | | $13.03 | $17.82 | $20.91 |