- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $38.02 / $79.43
| Facility | | $15.14 | $38.02 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.85 / $25.12
| Professional | | $12.88 | $15.85 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $46.77
| Facility | | $17.78 | $17.78 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $9.12 / $42.66
| Professional | | $8.91 | $9.12 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $17.78 / $17.78
| Facility | | $10.72 | $17.78 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $17.78 / $17.78
| Professional | | $13.18 | $17.78 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $38.90 / $194.98
| Facility | | $13.80 | $38.90 | $194.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $25.70 / $87.10
| Professional | | $11.75 | $25.70 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $17.78 / $48.98
| Facility | | $5.01 | $17.78 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.72 / $34.67
| Professional | | $7.24 | $10.72 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $5.89
| Facility | | $5.89 | $5.89 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $16.98 / $23.99
| Professional | | $5.89 | $16.98 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $23.44 / $61.66
| Facility | | $12.02 | $23.44 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $32.36 / $50,118.72
| Facility | | $12.59 | $32.36 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.22 / $21.38
| Facility | | $10.72 | $16.22 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.72 / $27.54
| Professional | | $7.59 | $10.72 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $8.91 / $41.69
| Facility | | $5.89 | $8.91 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $17.78 / $39.81
| Professional | | $5.89 | $17.78 | $39.81 |