- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.96 / $68.86 / $113.40
| Facility | | $21.96 | $68.86 | $113.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $19.60 / $23.04
| Professional | | $14.45 | $19.60 | $23.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.64 / $121.59 / $8,639.91
| Facility | | $93.64 | $121.59 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.15 / $21.15 / $21.15
| Professional | | $21.15 | $21.15 | $21.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $35.24 / $79.29
| Facility | | $18.14 | $35.24 | $79.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.14 / $31.39 / $39.24
| Professional | | $20.14 | $31.39 | $39.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $15.99 / $36.71
| Professional | | $10.61 | $15.99 | $36.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.93 / $62.93 / $228.96
| Facility | | $45.93 | $62.93 | $228.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.04 / $66.42 / $111.96
| Facility | | $23.04 | $66.42 | $111.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.07 / $21.96 / $111.96
| Professional | | $17.07 | $21.96 | $111.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.94 / $45.10 / $90.19
| Facility | | $18.94 | $45.10 | $90.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.12 / $31.39 / $39.24
| Professional | | $26.12 | $31.39 | $39.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.11 / $27.11 / $29.82
| Facility | | $27.11 | $27.11 | $29.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.86 / $27.11 / $29.82
| Professional | | $23.86 | $27.11 | $29.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.39 / $16.27 / $46.09
| Professional | | $11.39 | $16.27 | $46.09 |