- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $42.66 / $64.57
| Facility | | $16.60 | $42.66 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $74.13
| Professional | | $10.96 | $14.13 | $74.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $23.44 / $79.43
| Facility | | $15.14 | $23.44 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.60 / $34.67
| Professional | | $10.00 | $16.60 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $40.74 / $64.57
| Facility | | $32.36 | $40.74 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $21.38
| Professional | | $15.49 | $15.49 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $26.30 / $64.57
| Facility | | $12.88 | $26.30 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $20.42 / $28.18
| Professional | | $12.02 | $20.42 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $3,630.78 / $9,772.37
| Facility | | $15.85 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $23.99 / $28.18
| Professional | | $23.99 | $23.99 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $50.12
| Professional | | $16.60 | $16.60 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.57 / $64.57 / $64.57
| Facility | | $64.57 | $64.57 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $23.44 / $79.43
| Facility | | $15.14 | $23.44 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.60 / $34.67
| Professional | | $10.00 | $16.60 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $16.60 / $26.92
| Facility | | $9.55 | $16.60 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $14.79 / $39.81
| Professional | | $8.32 | $14.79 | $39.81 |