- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.43 / $35.49 / $73.94
| Facility | | $18.43 | $35.49 | $73.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.89 / $19.34 / $31.24
| Professional | | $14.89 | $19.34 | $31.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.75 / $22.75 / $59.15
| Facility | | $22.75 | $22.75 | $59.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.90 / $13.74 / $54.99
| Professional | | $9.90 | $13.74 | $54.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $22.75 / $22.75
| Facility | | $13.65 | $22.75 | $22.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.61 / $22.75 / $22.75
| Professional | | $16.61 | $22.75 | $22.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.93 / $55.34 / $215.47
| Facility | | $27.93 | $55.34 | $215.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.97 / $33.04 / $76.68
| Professional | | $14.97 | $33.04 | $76.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $29.58 / $332.00
| Facility | | $13.10 | $29.58 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.93 / $23.74 / $42.54
| Professional | | $15.93 | $23.74 | $42.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Facility | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $21.61 / $32.94
| Professional | | $8.11 | $21.61 | $32.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.19 / $55.34 / $254.50
| Facility | | $22.19 | $55.34 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.09 / $34.08 / $73.18
| Professional | | $16.09 | $34.08 | $73.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.48 / $20.48 / $22.75
| Facility | | $20.48 | $20.48 | $22.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $13.65 / $34.47
| Professional | | $9.56 | $13.65 | $34.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $73.86
| Facility | | $26.16 | $26.16 | $73.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.36 / $22.75 / $60.46
| Professional | | $10.36 | $22.75 | $60.46 |