- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.85 / $54.07 / $91.76
| Facility | | $27.85 | $54.07 | $91.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.87 / $25.56 / $38.01
| Professional | | $17.87 | $25.56 | $38.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.77 / $32.77 / $85.20
| Facility | | $32.77 | $32.77 | $85.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $19.82 / $51.78
| Professional | | $13.11 | $19.82 | $51.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.66 / $32.77 / $32.77
| Facility | | $19.66 | $32.77 | $32.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.92 / $32.77 / $32.77
| Professional | | $23.92 | $32.77 | $32.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.90 / $66.42 / $85.11
| Facility | | $22.90 | $66.42 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.19 / $31.36 / $157.94
| Professional | | $18.19 | $31.36 | $157.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.00 / $43.05 / $332.00
| Facility | | $21.00 | $43.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.07 / $26.22 / $59.97
| Professional | | $15.07 | $26.22 | $59.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.67 / $18.67 / $18.67
| Facility | | $18.67 | $18.67 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.10 / $23.85 / $34.35
| Professional | | $18.10 | $23.85 | $34.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.62 / $21.62 / $21.62
| Facility | | $21.62 | $21.62 | $21.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.90 / $80.02 / $254.50
| Facility | | $22.90 | $80.02 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.30 / $31.31 / $50.79
| Professional | | $21.30 | $31.31 | $50.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $16.80 / $48.13
| Professional | | $13.76 | $16.80 | $48.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.97 / $37.68 / $37.68
| Facility | | $36.97 | $37.68 | $37.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.51 / $26.17 / $39.39
| Professional | | $17.51 | $26.17 | $39.39 |