- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.96 / $73.72 / $113.40
| Facility | | $21.96 | $73.72 | $113.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $15.66 / $22.23
| Professional | | $13.38 | $15.66 | $22.23 |
- 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
- $17.82 / $35.22 / $78.75
| Facility | | $17.82 | $35.22 | $78.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.81 / $30.61 / $40.31
| Professional | | $12.81 | $30.61 | $40.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.47 / $15.99 / $36.71
| Professional | | $12.47 | $15.99 | $36.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.72 / $43.61 / $61.16
| Facility | | $35.72 | $43.61 | $61.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.50 / $17.50 / $17.50
| Professional | | $17.50 | $17.50 | $17.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.04 / $73.72 / $111.96
| Facility | | $23.04 | $73.72 | $111.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.58 / $21.15 / $111.96
| Professional | | $13.58 | $21.15 | $111.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.62 / $36.10 / $90.19
| Facility | | $17.62 | $36.10 | $90.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $30.61 / $39.24
| Professional | | $12.11 | $30.61 | $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 |