- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $19.95 / $74.13
| Facility | | $11.22 | $19.95 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $10.96 / $26.30
| Professional | | $10.96 | $10.96 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $12.59
| Professional | | $11.22 | $11.22 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $31.62
| Facility | | $30.20 | $30.20 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $30.20 / $30.20
| Professional | | $30.20 | $30.20 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $85.11
| Facility | | $10.72 | $10.72 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $47.86
| Professional | | $11.22 | $11.22 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $11.48 / $31.62
| Facility | | $8.91 | $11.48 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $16.98
| Professional | | $10.23 | $10.23 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $12.02
| Facility | | $11.48 | $11.48 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.75
| Professional | | $11.48 | $11.48 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $50,118.72 / $75,857.76
| Facility | | $14.79 | $50,118.72 | $75,857.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $20.42
| Professional | | $11.22 | $11.22 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $13.49
| Facility | | $11.48 | $11.48 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.75 / $30.20
| Professional | | $11.48 | $11.75 | $30.20 |