- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $22.39 / $89.13
| Facility | | $8.13 | $22.39 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.51 / $17.38
| Professional | | $7.08 | $8.51 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $24.55
| Facility | | $9.55 | $9.55 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $5.62 / $21.88
| Professional | | $4.68 | $5.62 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $9.55 / $9.55
| Facility | | $5.62 | $9.55 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.55 / $9.55
| Professional | | $6.92 | $9.55 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $20.42 / $102.33
| Facility | | $7.24 | $20.42 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $13.49 / $60.26
| Professional | | $6.17 | $13.49 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $10.96 / $26.30
| Facility | | $5.50 | $10.96 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $6.61 / $18.20
| Professional | | $4.47 | $6.61 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $9.55
| Facility | | $9.55 | $9.55 | $9.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $9.55 / $12.30
| Professional | | $8.13 | $9.55 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $16.98 / $43.65
| Facility | | $6.46 | $16.98 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.31 / $6.31
| Professional | | $6.03 | $6.31 | $6.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $17.78 / $50,118.72
| Facility | | $10.47 | $17.78 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $8.51 / $11.75
| Facility | | $5.62 | $8.51 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.62 / $14.45
| Professional | | $3.98 | $5.62 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $9.55 / $20.42
| Facility | | $8.13 | $9.55 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $10.00 / $25.12
| Professional | | $8.13 | $10.00 | $25.12 |