- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.20 / $24.11 / $41.64
| Facility | | $12.20 | $24.11 | $41.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $9.86 / $14.61
| Professional | | $8.13 | $9.86 | $14.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.61 / $14.61 / $37.99
| Facility | | $14.61 | $14.61 | $37.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $7.56 / $24.35
| Professional | | $4.96 | $7.56 | $24.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $14.61 / $14.61
| Facility | | $8.77 | $14.61 | $14.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $14.61 / $14.61
| Professional | | $10.67 | $14.61 | $14.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $29.67 / $117.61
| Facility | | $10.21 | $29.67 | $117.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $14.61 / $70.42
| Professional | | $8.42 | $14.61 | $70.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $18.98 / $332.00
| Facility | | $8.60 | $18.98 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.68 / $8.77 / $26.74
| Professional | | $6.68 | $8.77 | $26.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.61 / $14.61 / $14.61
| Facility | | $14.61 | $14.61 | $14.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $13.88 / $17.55
| Professional | | $4.86 | $13.88 | $17.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.57 / $39.57 / $39.57
| Facility | | $39.57 | $39.57 | $39.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $35.75 / $160.97
| Facility | | $13.73 | $35.75 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $16.93 / $35.00
| Professional | | $8.69 | $16.93 | $35.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $8.22 / $21.46
| Professional | | $6.14 | $8.22 | $21.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.15 / $16.80 / $19.20
| Facility | | $14.15 | $16.80 | $19.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.71 / $12.62 / $18.85
| Professional | | $4.71 | $12.62 | $18.85 |