- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.92 / $45.56 / $100.54
| Facility | | $17.92 | $45.56 | $100.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.69 / $13.87 / $24.92
| Professional | | $12.69 | $13.87 | $24.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $26.11 / $75.23
| Facility | | $13.28 | $26.11 | $75.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $14.57 / $35.49
| Professional | | $8.74 | $14.57 | $35.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $40.96 / $71.59
| Facility | | $25.72 | $40.96 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.70 / $13.70 / $18.63
| Professional | | $13.70 | $13.70 | $18.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $21.61 / $49.75
| Facility | | $10.18 | $21.61 | $49.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $16.10 / $24.41
| Professional | | $8.74 | $16.10 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.52 / $3,472.00 / $9,239.00
| Facility | | $49.52 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $20.19 / $54.20
| Professional | | $14.57 | $20.19 | $54.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $18.25 / $80.51
| Facility | | $16.73 | $18.25 | $80.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $75.23 / $75.23
| Facility | | $26.11 | $75.23 | $75.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $9.44 / $30.74
| Professional | | $6.99 | $9.44 | $30.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $9.44 / $27.77
| Professional | | $6.99 | $9.44 | $27.77 |