- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.45 / $24.60 / $60.92
| Facility | | $11.45 | $24.60 | $60.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $10.84 / $17.07
| Professional | | $8.94 | $10.84 | $17.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $31.33
| Facility | | $12.05 | $12.05 | $31.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.23 / $27.20
| Professional | | $5.75 | $7.23 | $27.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $12.05 / $12.05
| Facility | | $7.23 | $12.05 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $12.05 / $12.05
| Professional | | $8.80 | $12.05 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $25.45 / $122.78
| Facility | | $8.42 | $25.45 | $122.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $16.82 / $78.94
| Professional | | $9.27 | $16.82 | $78.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $17.30 / $332.00
| Facility | | $10.00 | $17.30 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.17 / $22.05
| Professional | | $5.51 | $7.17 | $22.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.87 / $6.87 / $6.87
| Facility | | $6.87 | $6.87 | $6.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $11.01 / $14.48
| Professional | | $6.87 | $11.01 | $14.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $24.65 / $53.68
| Facility | | $8.02 | $24.65 | $53.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $29.81 / $160.97
| Facility | | $13.73 | $29.81 | $160.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $16.82 / $50.00
| Professional | | $9.61 | $16.82 | $50.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $10.85 / $12.05
| Facility | | $10.85 | $10.85 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $17.70
| Professional | | $5.05 | $7.23 | $17.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.86 / $13.86 / $42.51
| Facility | | $13.86 | $13.86 | $42.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $12.63 / $15.31
| Professional | | $8.77 | $12.63 | $15.31 |