- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.55 / $54.18 / $90.63
| Facility | | $17.55 | $54.18 | $90.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $15.79 / $20.80
| Professional | | $10.84 | $15.79 | $20.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.48 / $81.13 / $8,639.91
| Facility | | $62.48 | $81.13 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.89 / $16.89 / $16.89
| Professional | | $16.89 | $16.89 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.24 / $28.18 / $63.41
| Facility | | $14.24 | $28.18 | $63.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.28 / $21.16 / $32.49
| Professional | | $8.28 | $21.16 | $32.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $12.79 / $29.34
| Professional | | $9.97 | $12.79 | $29.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.00 / $30.64 / $66.65
| Facility | | $26.00 | $30.64 | $66.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.55 / $54.18 / $90.63
| Facility | | $17.55 | $54.18 | $90.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.89 / $89.50
| Professional | | $10.84 | $16.89 | $89.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $31.52 / $71.72
| Facility | | $14.51 | $31.52 | $71.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $21.16 / $30.98
| Professional | | $7.77 | $21.16 | $30.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.89 / $21.67 / $21.67
| Facility | | $19.89 | $21.67 | $21.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.07 / $21.67 / $21.67
| Professional | | $19.07 | $21.67 | $21.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $13.00 / $35.75
| Professional | | $9.05 | $13.00 | $35.75 |