- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $47.86 / $79.43
| Facility | | $12.59 | $47.86 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.96 / $45.71
| Professional | | $8.91 | $10.96 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $12.02
| Professional | | $7.24 | $7.24 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $85.11 / $5,011.87
| Facility | | $63.10 | $85.11 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $11.48
| Professional | | $9.33 | $9.33 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $18.62 / $41.69
| Facility | | $8.13 | $18.62 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $13.49 / $21.38
| Professional | | $7.59 | $13.49 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.08 / $17.38
| Professional | | $5.62 | $7.08 | $17.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $12.02
| Facility | | $12.02 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $13.49 / $20.89
| Professional | | $12.02 | $13.49 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $32.36 / $60.26
| Facility | | $22.91 | $32.36 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.94 / $12.59
| Professional | | $7.24 | $7.94 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $46.77 / $79.43
| Facility | | $12.59 | $46.77 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.88 / $44.67
| Professional | | $8.91 | $12.88 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $14.13 / $15.49
| Facility | | $6.46 | $14.13 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $14.13 / $16.98
| Professional | | $6.46 | $14.13 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $12.02 / $14.45
| Facility | | $8.13 | $12.02 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $8.71 / $20.89
| Professional | | $5.37 | $8.71 | $20.89 |