- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $50.94 / $180.78
| Facility | | $17.20 | $50.94 | $180.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.06 / $16.25 / $18.23
| Professional | | $13.06 | $16.25 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.46 / $31.41 / $85.74
| Facility | | $16.46 | $31.41 | $85.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $18.05 / $43.97
| Professional | | $9.44 | $18.05 | $43.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.90 / $50.79 / $88.80
| Facility | | $31.90 | $50.79 | $88.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.97 / $16.97 / $23.10
| Professional | | $16.97 | $16.97 | $23.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.61 / $20.49 / $41.06
| Facility | | $12.61 | $20.49 | $41.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $20.65 / $31.19
| Professional | | $10.63 | $20.65 | $31.19 |
- 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
- $26.14 / $26.14 / $30.75
| Professional | | $26.14 | $26.14 | $30.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.05 / $25.02 / $67.20
| Professional | | $18.05 | $25.02 | $67.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.07 / $22.43 / $161.36
| Facility | | $17.07 | $22.43 | $161.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.41 / $85.74 / $85.74
| Facility | | $31.41 | $85.74 | $85.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $10.83 / $36.95
| Professional | | $8.11 | $10.83 | $36.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $14.44 / $30.79
| Professional | | $8.61 | $14.44 | $30.79 |