- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.48 / $37.64 / $83.90
| Facility | | $13.48 | $37.64 | $83.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $13.48 / $18.47
| Professional | | $12.64 | $13.48 | $18.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $24.60 / $85.10
| Facility | | $12.90 | $24.60 | $85.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $14.14 / $34.44
| Professional | | $8.48 | $14.14 | $34.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.70 / $39.33 / $68.75
| Facility | | $24.70 | $39.33 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.29 / $13.29 / $18.10
| Professional | | $13.29 | $13.29 | $18.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.88 / $21.02 / $48.34
| Facility | | $9.88 | $21.02 | $48.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $15.65 / $23.95
| Professional | | $8.52 | $15.65 | $23.95 |
- 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
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.14 / $19.60 / $52.63
| Professional | | $14.14 | $19.60 | $52.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.38 / $17.55 / $18.43
| Facility | | $13.38 | $17.55 | $18.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.60 / $85.10 / $85.10
| Facility | | $24.60 | $85.10 | $85.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $9.49 / $29.87
| Professional | | $6.79 | $9.49 | $29.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $11.86 / $29.87
| Professional | | $6.79 | $11.86 | $29.87 |