- 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
- $7.41 / $37.15 / $81.28
| Facility | | $7.41 | $37.15 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $11.48 / $26.92
| Professional | | $6.46 | $11.48 | $26.92 |
- 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
- $10.47 / $26.92 / $54.95
| Facility | | $10.47 | $26.92 | $54.95 |
- 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 / $16.22 / $25.70
| Professional | | $10.00 | $16.22 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.22 / $35.48
| Professional | | $12.88 | $16.22 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $186.21 / $186.21 / $186.21
| Facility | | $186.21 | $186.21 | $186.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $16.22 / $16.22
| Professional | | $8.13 | $16.22 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $16.60 / $41.69
| Facility | | $11.75 | $16.60 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.30 / $32.36
| Professional | | $8.71 | $12.30 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.23 / $56.23 / $56.23
| Professional | | $56.23 | $56.23 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.60 / $27.54
| Professional | | $12.88 | $16.60 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $8.91 / $16.22
| Facility | | $7.24 | $8.91 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.55 / $28.84
| Professional | | $6.76 | $9.55 | $28.84 |