- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.47 / $73.09 / $140.77
| Facility | | $12.47 | $73.09 | $140.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $14.18 / $18.03
| Professional | | $8.91 | $14.18 | $18.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $9.55 / $15.91
| Professional | | $5.57 | $9.55 | $15.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.50 / $50.12 / $93.07
| Facility | | $17.50 | $50.12 | $93.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.43 / $14.16
| Professional | | $5.00 | $8.43 | $14.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.70 / $23.87 / $112.45
| Facility | | $14.70 | $23.87 | $112.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.73 / $15.91 / $25.46
| Professional | | $12.73 | $15.91 | $25.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.91 / $15.91 / $15.91
| Facility | | $15.91 | $15.91 | $15.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $34.95 / $80.65
| Facility | | $11.12 | $34.95 | $80.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.43 / $12.23 / $26.81
| Professional | | $8.43 | $12.23 | $26.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $75.56 / $100.00
| Facility | | $50.00 | $75.56 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.23 / $23.14 / $26.29
| Professional | | $14.23 | $23.14 | $26.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.73 / $15.91 / $37.70
| Facility | | $12.73 | $15.91 | $37.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.32 / $15.91 / $20.73
| Professional | | $14.32 | $15.91 | $20.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $346.63 / $473.90 / $1,111.65
| Facility | | $346.63 | $473.90 | $1,111.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.73 / $15.91 / $39.64
| Facility | | $12.73 | $15.91 | $39.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.43 / $12.37 / $22.98
| Professional | | $8.43 | $12.37 | $22.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.68 / $9.10 / $15.75
| Professional | | $6.68 | $9.10 | $15.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $7.86 / $15.91
| Professional | | $6.20 | $7.86 | $15.91 |