- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.08 / $48.16 / $68.63
| Facility | | $24.08 | $48.16 | $68.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.41 / $21.72 / $36.99
| Professional | | $17.41 | $21.72 | $36.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.08 / $24.08 / $62.61
| Facility | | $24.08 | $24.08 | $62.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $13.65 / $38.52
| Professional | | $11.89 | $13.65 | $38.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.08 / $24.08 / $24.08
| Facility | | $24.08 | $24.08 | $24.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $24.08 / $24.08
| Professional | | $17.57 | $24.08 | $24.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.82 / $48.76 / $62.49
| Facility | | $16.82 | $48.76 | $62.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.66 / $12.66 / $116.07
| Professional | | $12.66 | $12.66 | $116.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.08 / $50.57 / $332.00
| Facility | | $24.08 | $50.57 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $14.21 / $45.03
| Professional | | $9.63 | $14.21 | $45.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.23 / $23.12 / $29.36
| Professional | | $18.23 | $23.12 | $29.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.86 / $16.86 / $16.86
| Professional | | $16.86 | $16.86 | $16.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.49 / $39.59 / $107.27
| Facility | | $26.49 | $39.59 | $107.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.45 / $58.75 / $86.17
| Facility | | $29.45 | $58.75 | $86.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.66 / $20.05 / $46.24
| Professional | | $12.66 | $20.05 | $46.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $14.45 / $36.40
| Professional | | $10.11 | $14.45 | $36.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.02 / $27.02 / $27.02
| Facility | | $27.02 | $27.02 | $27.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.23 / $24.08 / $27.04
| Professional | | $18.23 | $24.08 | $27.04 |