- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.76 / $47.19 / $98.71
| Facility | | $8.76 | $47.19 | $98.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.05 / $11.53
| Professional | | $6.92 | $10.05 | $11.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $6.92 / $8.01
| Professional | | $5.53 | $6.92 | $8.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $38.42 / $68.37
| Facility | | $14.41 | $38.42 | $68.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.11 / $10.26
| Professional | | $5.00 | $6.11 | $10.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $18.45 / $70.72
| Facility | | $11.53 | $18.45 | $70.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.65 / $11.53 / $17.30
| Professional | | $8.65 | $11.53 | $17.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.53 / $12.10 / $12.10
| Facility | | $11.53 | $12.10 | $12.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $25.32 / $58.16
| Facility | | $8.06 | $25.32 | $58.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $8.47 / $19.69
| Professional | | $6.11 | $8.47 | $19.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.00 / $60.00 / $60.00
| Facility | | $49.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $16.98
| Facility | | $9.22 | $11.53 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $11.53 / $15.02
| Professional | | $10.38 | $11.53 | $15.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.19 / $161.63 / $209.09
| Facility | | $113.19 | $161.63 | $209.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $28.98
| Facility | | $9.22 | $11.53 | $28.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $8.88 / $16.64
| Professional | | $6.11 | $8.88 | $16.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $6.64 / $12.08
| Professional | | $4.84 | $6.64 | $12.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.69 / $11.53
| Professional | | $4.50 | $5.69 | $11.53 |