- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.04 / $40.72 / $84.28
| Facility | | $17.04 | $40.72 | $84.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.89 / $18.04 / $28.39
| Professional | | $14.89 | $18.04 | $28.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $20.05 / $52.13
| Facility | | $20.05 | $20.05 | $52.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.90 / $13.74 / $53.94
| Professional | | $9.90 | $13.74 | $53.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.03 / $20.05 / $20.05
| Facility | | $12.03 | $20.05 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.64 / $20.05 / $20.05
| Professional | | $14.64 | $20.05 | $20.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $48.52 / $215.47
| Facility | | $24.55 | $48.52 | $215.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.97 / $32.11 / $76.68
| Professional | | $14.97 | $32.11 | $76.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $26.86 / $332.00
| Facility | | $13.10 | $26.86 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.04 / $20.92 / $37.49
| Professional | | $14.04 | $20.92 | $37.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.09 / $14.09 / $14.09
| Facility | | $14.09 | $14.09 | $14.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.09 / $19.05 / $32.94
| Professional | | $14.09 | $19.05 | $32.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $27.67 / $88.90
| Facility | | $13.36 | $27.67 | $88.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $48.52 / $254.50
| Facility | | $19.91 | $48.52 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.09 / $31.74 / $64.17
| Professional | | $16.09 | $31.74 | $64.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $12.03 / $31.48
| Professional | | $8.42 | $12.03 | $31.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.06 / $23.06 / $73.86
| Facility | | $23.06 | $23.06 | $73.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.00 / $20.87 / $53.28
| Professional | | $18.00 | $20.87 | $53.28 |