- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $30.20 / $87.10
| Facility | | $12.02 | $30.20 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $18.62
| Professional | | $8.91 | $12.02 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $16.98
| Professional | | $9.55 | $9.55 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $51.29 / $85.11
| Facility | | $19.50 | $51.29 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.91 / $10.72
| Professional | | $5.01 | $8.91 | $10.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $25.12 / $95.50
| Facility | | $14.45 | $25.12 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $16.22 / $16.22
| Facility | | $13.80 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $28.84 / $70.79
| Facility | | $13.18 | $28.84 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $8.71 / $24.55
| Professional | | $7.41 | $8.71 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $75.86 / $75.86
| Facility | | $75.86 | $75.86 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $16.22 / $52.48
| Facility | | $11.75 | $16.22 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $13.80 / $19.05
| Professional | | $8.91 | $13.80 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $13.49 / $13.49
| Professional | | $12.02 | $13.49 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $851.14 / $977.24 / $1,412.54
| Facility | | $851.14 | $977.24 | $1,412.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $16.22 / $44.67
| Facility | | $11.75 | $16.22 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.91 / $24.55
| Professional | | $7.76 | $8.91 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $8.32 / $16.22
| Facility | | $5.75 | $8.32 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $7.08 / $16.22
| Professional | | $6.76 | $7.08 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $6.31 / $16.22
| Professional | | $6.31 | $6.31 | $16.22 |