- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.35 / $78.06 / $184.53
| Facility | | $32.35 | $78.06 | $184.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $13.05 / $25.59
| Professional | | $12.22 | $13.05 | $25.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.77 / $32.43 / $88.54
| Facility | | $13.77 | $32.43 | $88.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $18.64 / $45.40
| Professional | | $11.18 | $18.64 | $45.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $28.20 / $49.99
| Facility | | $18.64 | $28.20 | $49.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.52 / $17.52 / $18.45
| Professional | | $17.52 | $17.52 | $18.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $13.03 / $42.42
| Facility | | $12.00 | $13.03 | $42.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.36 / $21.48 / $28.40
| Professional | | $10.36 | $21.48 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.08 / $27.08 / $31.86
| Professional | | $27.08 | $27.08 | $31.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.64 / $24.60 / $53.37
| Professional | | $18.64 | $24.60 | $53.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.99 / $79.58 / $114.21
| Facility | | $21.99 | $79.58 | $114.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.43 / $88.54 / $88.54
| Facility | | $32.43 | $88.54 | $88.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $32.61
| Professional | | $7.46 | $11.18 | $32.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.46 / $18.53 / $30.57
| Facility | | $14.46 | $18.53 | $30.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $11.18 / $27.96
| Professional | | $7.46 | $11.18 | $27.96 |