- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $53.70 / $109.65
| Facility | | $20.89 | $53.70 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $75.86
| Professional | | $10.00 | $12.88 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $38.02 / $83.18
| Facility | | $7.59 | $38.02 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $11.48 / $27.54
| Professional | | $6.61 | $11.48 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $60.26 / $125.89
| Facility | | $25.70 | $60.26 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.72 / $32.36
| Professional | | $7.41 | $10.72 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $27.54 / $56.23
| Facility | | $10.72 | $27.54 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.02 / $24.55
| Professional | | $7.94 | $12.02 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.60 / $26.30
| Professional | | $10.00 | $16.60 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $16.60 / $36.31
| Professional | | $13.18 | $16.60 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.62 / $77.62 / $77.62
| Facility | | $77.62 | $77.62 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $16.60 / $16.60
| Professional | | $8.13 | $16.60 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $16.98 / $42.66
| Facility | | $11.75 | $16.98 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.02 / $33.11
| Professional | | $8.71 | $12.02 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $57.54 / $57.54
| Professional | | $57.54 | $57.54 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.18 / $16.98
| Professional | | $10.00 | $13.18 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $9.12 / $16.60
| Facility | | $7.41 | $9.12 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $9.77 / $29.51
| Professional | | $6.92 | $9.77 | $29.51 |