- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $43.62 / $70.51
| Facility | | $14.34 | $43.62 | $70.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.47 / $14.34 / $28.40
| Professional | | $13.47 | $14.34 | $28.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.13 / $28.87 / $79.02
| Facility | | $15.13 | $28.87 | $79.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $16.59 / $40.40
| Professional | | $9.94 | $16.59 | $40.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.32 / $46.69 / $81.63
| Facility | | $29.32 | $46.69 | $81.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.59 / $15.59 / $21.23
| Professional | | $15.59 | $15.59 | $21.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.59 / $24.65 / $56.71
| Facility | | $11.59 | $24.65 | $56.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $18.34 / $28.02
| Professional | | $9.99 | $18.34 | $28.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.52 / $3,472.00 / $9,239.00
| Facility | | $49.52 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.80 / $23.80 / $28.00
| Professional | | $23.80 | $23.80 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.59 / $22.99 / $61.77
| Professional | | $16.59 | $22.99 | $61.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.95 / $63.95 / $63.95
| Facility | | $63.95 | $63.95 | $63.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.87 / $79.02 / $79.02
| Facility | | $28.87 | $79.02 | $79.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.96 / $11.13 / $35.03
| Professional | | $7.96 | $11.13 | $35.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.96 / $11.13 / $35.03
| Professional | | $7.96 | $11.13 | $35.03 |