- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.57 / $42.42 / $81.05
| Facility | | $15.57 | $42.42 | $81.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.25 / $14.73 / $18.63
| Professional | | $14.25 | $14.73 | $18.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.90 / $29.21 / $77.84
| Facility | | $14.90 | $29.21 | $77.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $16.34 / $39.79
| Professional | | $9.80 | $16.34 | $39.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.81 / $45.87 / $80.20
| Facility | | $28.81 | $45.87 | $80.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.36 / $15.36 / $20.91
| Professional | | $15.36 | $15.36 | $20.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $24.29 / $55.87
| Facility | | $11.41 | $24.29 | $55.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $18.05 / $27.57
| Professional | | $9.77 | $18.05 | $27.57 |
- 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
- $23.80 / $23.80 / $28.00
| Professional | | $23.80 | $23.80 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.34 / $22.65 / $60.80
| Professional | | $16.34 | $22.65 | $60.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.46 / $19.23 / $21.29
| Facility | | $15.46 | $19.23 | $21.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.21 / $77.84 / $77.84
| Facility | | $29.21 | $77.84 | $77.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.50 / $34.50
| Professional | | $7.84 | $10.50 | $34.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $10.50 / $38.96
| Professional | | $7.84 | $10.50 | $38.96 |