- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $54.33 / $346.63
| Facility | | $12.76 | $54.33 | $346.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $13.03 / $18.84
| Professional | | $9.60 | $13.03 | $18.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.68 / $53.52 / $98.90
| Facility | | $18.68 | $53.52 | $98.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.43 / $11.65
| Professional | | $5.00 | $9.43 | $11.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $38.57 / $484.00
| Facility | | $15.84 | $38.57 | $484.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.82 / $17.14 / $17.14
| Facility | | $12.82 | $17.14 | $17.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.67 / $35.86 / $77.01
| Facility | | $11.67 | $35.86 | $77.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $12.00 / $26.33
| Professional | | $8.69 | $12.00 | $26.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.99 / $81.42 / $81.42
| Facility | | $41.99 | $81.42 | $81.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.49 / $17.14 / $22.28
| Facility | | $12.49 | $17.14 | $22.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.57 / $17.14 / $18.95
| Professional | | $14.57 | $17.14 | $18.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $259.06 / $436.10 / $2,320.16
| Facility | | $259.06 | $436.10 | $2,320.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.49 / $17.14 / $41.05
| Facility | | $12.49 | $17.14 | $41.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $12.96 / $21.05
| Professional | | $8.69 | $12.96 | $21.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $8.38 / $11.97
| Professional | | $7.20 | $8.38 | $11.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.68 / $7.18 / $17.14
| Professional | | $6.68 | $7.18 | $17.14 |