- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.98 / $62.35 / $115.22
| Facility | | $18.98 | $62.35 | $115.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.48 / $18.98 / $21.96
| Professional | | $13.48 | $18.98 | $21.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.03 / $47.17 / $128.77
| Facility | | $20.03 | $47.17 | $128.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $27.11 / $66.03
| Professional | | $13.01 | $27.11 | $66.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.11 / $41.02 / $72.70
| Facility | | $27.11 | $41.02 | $72.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.48 / $25.48 / $26.84
| Professional | | $25.48 | $25.48 | $26.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.44 / $18.94 / $61.67
| Facility | | $17.44 | $18.94 | $61.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.18 / $31.39 / $41.30
| Professional | | $15.18 | $31.39 | $41.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.43 / $4,618.00 / $9,239.00
| Facility | | $83.43 | $4,618.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.21 / $39.21 / $46.13
| Professional | | $39.21 | $39.21 | $46.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.11 / $35.79 / $73.31
| Professional | | $27.11 | $35.79 | $73.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.05 / $85.05 / $425.58
| Facility | | $85.05 | $85.05 | $425.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.17 / $128.77 / $128.77
| Facility | | $47.17 | $128.77 | $128.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.27 / $47.44
| Professional | | $10.84 | $16.27 | $47.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.40 / $27.11 / $32.53
| Facility | | $24.40 | $27.11 | $32.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $16.27 / $40.67
| Professional | | $10.84 | $16.27 | $40.67 |