- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.94 / $7.60 / $74.67
| Facility | | $6.94 | $7.60 | $74.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.60 / $9.92 / $74.67
| Professional | | $7.60 | $9.92 | $74.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.99 / $9.61 / $25.44
| Facility | | $7.99 | $9.61 | $25.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $11.11 / $24.07
| Professional | | $11.11 | $11.11 | $24.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.26 / $35.42 / $54.72
| Facility | | $27.26 | $35.42 | $54.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.99 / $55.54 / $97.29
| Professional | | $13.99 | $55.54 | $97.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.82 / $15.54 / $18.52
| Facility | | $14.82 | $15.54 | $18.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $13.21 / $15.54
| Professional | | $10.56 | $13.21 | $15.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.70 / $25.88 / $31.06
| Professional | | $20.70 | $25.88 | $31.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.53 / $18.12 / $40.11
| Professional | | $15.53 | $18.12 | $40.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.00 / $122.93 / $122.93
| Facility | | $85.00 | $122.93 | $122.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $163.22 / $167.13 / $194.10
| Professional | | $163.22 | $167.13 | $194.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $22.89 / $27.17
| Facility | | $7.08 | $22.89 | $27.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $13.21 / $20.94
| Professional | | $10.56 | $13.21 | $20.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.85 / $48.85 / $48.85
| Professional | | $48.85 | $48.85 | $48.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.70 / $21.64 / $28.13
| Professional | | $20.70 | $21.64 | $28.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $10.06 / $13.60
| Facility | | $7.08 | $10.06 | $13.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $10.97 / $26.11
| Professional | | $9.85 | $10.97 | $26.11 |