- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $52.96 / $338.80
| Facility | | $11.25 | $52.96 | $338.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $10.79 / $21.74
| Professional | | $9.94 | $10.79 | $21.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $7.95 / $7.95
| Professional | | $7.95 | $7.95 | $7.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.54 / $72.12 / $8,639.91
| Facility | | $55.54 | $72.12 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $10.34 / $10.34
| Professional | | $10.34 | $10.34 | $10.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $17.22 / $43.46
| Facility | | $8.71 | $17.22 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $15.07 / $21.16
| Professional | | $7.46 | $15.07 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.10 / $10.60 / $17.94
| Professional | | $6.10 | $10.60 | $17.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.27 / $33.75 / $100.63
| Facility | | $17.27 | $33.75 | $100.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $10.50 / $10.50
| Professional | | $7.95 | $10.50 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.73 / $39.75 / $100.96
| Facility | | $10.73 | $39.75 | $100.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $10.86 / $54.72
| Professional | | $9.53 | $10.86 | $54.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $18.22 / $43.46
| Facility | | $8.86 | $18.22 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $15.07 / $21.16
| Professional | | $7.46 | $15.07 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $13.25
| Facility | | $13.25 | $13.25 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $13.25 / $15.68
| Professional | | $11.66 | $13.25 | $15.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $7.04 / $7.04
| Facility | | $7.04 | $7.04 | $7.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $8.48 / $23.06
| Professional | | $5.96 | $8.48 | $23.06 |