- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $84.12 / $160.38
| Facility | | $11.48 | $84.12 | $160.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $12.82 / $14.38
| Professional | | $8.63 | $12.82 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.90 / $7.19 / $11.02
| Professional | | $6.90 | $7.19 | $11.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.55 / $47.41 / $86.14
| Facility | | $18.55 | $47.41 | $86.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.91 / $10.24
| Professional | | $5.00 | $7.91 | $10.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.94 / $19.41 / $165.30
| Facility | | $12.94 | $19.41 | $165.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $14.23 / $23.01
| Professional | | $10.79 | $14.23 | $23.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.38 / $14.38 / $14.38
| Facility | | $14.38 | $14.38 | $14.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.05 / $31.42 / $63.41
| Facility | | $10.05 | $31.42 | $63.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.62 / $11.06 / $24.07
| Professional | | $7.62 | $11.06 | $24.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $94.00 / $95.00
| Facility | | $55.00 | $94.00 | $95.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.50 / $14.38 / $23.15
| Facility | | $11.50 | $14.38 | $23.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.94 / $14.38 / $19.95
| Professional | | $12.94 | $14.38 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $198.38 / $271.45 / $1,520.67
| Facility | | $198.38 | $271.45 | $1,520.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $14.38 / $35.69
| Facility | | $11.51 | $14.38 | $35.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.62 / $11.19 / $17.39
| Professional | | $7.62 | $11.19 | $17.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $14.38 / $23.68
| Facility | | $8.65 | $14.38 | $23.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.28 / $14.38
| Professional | | $6.04 | $8.28 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $7.10 / $14.38
| Professional | | $7.10 | $7.10 | $14.38 |