- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $51.08 / $80.65
| Facility | | $12.63 | $51.08 | $80.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $12.63 / $15.79
| Professional | | $10.84 | $12.63 | $15.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.01 / $37.71 / $102.93
| Facility | | $16.01 | $37.71 | $102.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $19.11 / $52.78
| Professional | | $10.85 | $19.11 | $52.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.33 / $49.15 / $85.93
| Facility | | $25.33 | $49.15 | $85.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.96 / $20.37 / $21.45
| Professional | | $16.96 | $20.37 | $21.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.09 / $15.80 / $42.26
| Facility | | $14.09 | $15.80 | $42.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $22.60 / $33.04
| Professional | | $8.68 | $22.60 | $33.04 |
- 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
- $31.27 / $31.27 / $36.78
| Professional | | $31.27 | $31.27 | $36.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.67 / $30.03 / $69.78
| Professional | | $21.67 | $30.03 | $69.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $16.73 / $28.48
| Facility | | $16.73 | $16.73 | $28.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.71 / $102.93 / $102.93
| Facility | | $37.71 | $102.93 | $102.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $13.00 / $31.61
| Professional | | $8.67 | $13.00 | $31.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $13.00 / $27.14
| Professional | | $8.68 | $13.00 | $27.14 |