- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.33 / $30.87 / $51.44
| Facility | | $15.33 | $30.87 | $51.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $18.05 / $24.78
| Professional | | $11.81 | $18.05 | $24.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $46.93
| Facility | | $18.05 | $18.05 | $46.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $9.34 / $34.36
| Professional | | $7.22 | $9.34 | $34.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $18.05
| Facility | | $18.05 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.05 / $18.05
| Professional | | $13.18 | $18.05 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $36.74 / $47.08
| Facility | | $12.61 | $36.74 | $47.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $9.49 / $87.00
| Professional | | $9.49 | $9.49 | $87.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.66 / $29.78 / $332.00
| Facility | | $21.66 | $29.78 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $10.83 / $33.75
| Professional | | $7.22 | $10.83 | $33.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $15.34 / $20.25
| Professional | | $10.17 | $15.34 | $20.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $12.64 / $12.64
| Professional | | $12.64 | $12.64 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $22.08 / $80.40
| Facility | | $18.05 | $22.08 | $80.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $38.09 / $62.73
| Facility | | $17.60 | $38.09 | $62.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $18.77 / $34.54
| Professional | | $9.49 | $18.77 | $34.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $10.83 / $26.17
| Professional | | $7.58 | $10.83 | $26.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.25 / $20.25 / $20.25
| Facility | | $20.25 | $20.25 | $20.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $16.54 / $20.25
| Professional | | $10.17 | $16.54 | $20.25 |