- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.62 / $56.86 / $98.95
| Facility | | $17.62 | $56.86 | $98.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.68 / $17.62 / $22.17
| Professional | | $16.68 | $17.62 | $22.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $35.06 / $95.71
| Facility | | $16.87 | $35.06 | $95.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $20.14 / $49.08
| Professional | | $9.67 | $20.14 | $49.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $51.61 / $90.23
| Facility | | $32.40 | $51.61 | $90.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.94 / $18.94 / $23.66
| Professional | | $18.94 | $18.94 | $23.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.08 / $21.01 / $44.51
| Facility | | $14.08 | $21.01 | $44.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.89 / $23.13 / $31.64
| Professional | | $10.89 | $23.13 | $31.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.94 / $28.94 / $34.04
| Professional | | $28.94 | $28.94 | $34.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.14 / $27.93 / $68.84
| Professional | | $20.14 | $27.93 | $68.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $21.78 / $134.33
| Facility | | $17.48 | $21.78 | $134.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.06 / $95.71 / $95.71
| Facility | | $35.06 | $95.71 | $95.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.09 / $38.40
| Professional | | $8.40 | $12.09 | $38.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.09 / $37.85
| Professional | | $8.40 | $12.09 | $37.85 |