- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $61.66 / $87.10
| Facility | | $16.98 | $61.66 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $20.89 / $32.36
| Professional | | $15.85 | $20.89 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $128.82
| Facility | | $19.95 | $30.90 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $24.55 / $56.23
| Professional | | $12.59 | $24.55 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $53.70 / $77.62
| Facility | | $42.66 | $53.70 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $25.70 / $26.30
| Professional | | $22.91 | $25.70 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $23.44 / $43.65
| Facility | | $17.78 | $23.44 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $33.11 / $41.69
| Professional | | $13.49 | $33.11 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $3,630.78 / $9,772.37
| Facility | | $25.70 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $38.90 / $45.71
| Professional | | $38.90 | $38.90 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $61.66
| Professional | | $26.92 | $26.92 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $128.82
| Facility | | $19.95 | $30.90 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $24.55 / $56.23
| Professional | | $12.88 | $24.55 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $24.55 / $29.51
| Facility | | $12.30 | $24.55 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $16.22 / $53.70
| Professional | | $12.30 | $16.22 | $53.70 |