- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $31.24 / $66.33
| Facility | | $12.68 | $31.24 | $66.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $13.15 / $33.32
| Professional | | $6.49 | $13.15 | $33.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.53 / $16.53 / $42.98
| Facility | | $16.53 | $16.53 | $42.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.42 / $8.98 / $24.98
| Professional | | $4.42 | $8.98 | $24.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.92 / $16.53 / $16.53
| Facility | | $9.92 | $16.53 | $16.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.07 / $16.53 / $16.53
| Professional | | $12.07 | $16.53 | $16.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.55 / $33.22 / $94.03
| Facility | | $11.55 | $33.22 | $94.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $16.82 / $26.40
| Professional | | $9.22 | $16.82 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $21.49 / $332.00
| Facility | | $8.60 | $21.49 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $10.02 / $30.25
| Professional | | $7.55 | $10.02 | $30.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.79 / $3.79 / $3.79
| Facility | | $3.79 | $3.79 | $3.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $11.51 / $18.55
| Professional | | $3.79 | $11.51 | $18.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.90 / $27.18 / $56.29
| Facility | | $10.90 | $27.18 | $56.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $40.02 / $180.66
| Facility | | $15.14 | $40.02 | $180.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $16.53 / $26.52
| Professional | | $9.44 | $16.53 | $26.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $9.92 / $22.32
| Professional | | $7.74 | $9.92 | $22.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.01 / $19.01 / $42.22
| Facility | | $19.01 | $19.01 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $13.61 / $19.87
| Professional | | $9.35 | $13.61 | $19.87 |