- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.10 / $47.52 / $77.98
| Facility | | $15.10 | $47.52 | $77.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $13.48 / $15.28
| Professional | | $11.95 | $13.48 | $15.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.38 / $83.61 / $8,639.91
| Facility | | $64.38 | $83.61 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.54 / $14.54 / $14.54
| Professional | | $14.54 | $14.54 | $14.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $24.23 / $54.17
| Facility | | $12.25 | $24.23 | $54.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $21.04 / $27.91
| Professional | | $8.78 | $21.04 | $27.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $11.00 / $25.24
| Professional | | $8.57 | $11.00 | $25.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.71 / $39.85 / $107.85
| Facility | | $14.71 | $39.85 | $107.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.10 / $47.52 / $77.98
| Facility | | $15.10 | $47.52 | $77.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.61 / $14.73 / $76.98
| Professional | | $12.61 | $14.73 | $76.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.12 / $24.83 / $61.94
| Facility | | $12.12 | $24.83 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $21.04 / $26.85
| Professional | | $8.23 | $21.04 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $18.64 / $20.50
| Facility | | $18.64 | $18.64 | $20.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.39 / $18.64 / $20.50
| Professional | | $16.39 | $18.64 | $20.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.18 / $31.69
| Professional | | $7.83 | $11.18 | $31.69 |