- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $68.81 / $349.58
| Facility | | $0.02 | $68.81 | $349.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $19.66 / $19.66
| Professional | | $18.04 | $19.66 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $9.61 / $9.61
| Professional | | $9.61 | $9.61 | $9.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.82 / $18.39
| Professional | | $5.62 | $8.82 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $14.00 / $14.00
| Facility | | $8.40 | $14.00 | $14.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $14.00 / $14.00
| Professional | | $6.74 | $14.00 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $51.03 / $84.04
| Facility | | $50.00 | $51.03 | $84.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.53 / $24.47 / $115.39
| Professional | | $14.53 | $24.47 | $115.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.53 / $21.53 / $21.53
| Professional | | $21.53 | $21.53 | $21.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.58 / $23.35 / $25.72
| Professional | | $21.58 | $23.35 | $25.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $51.03 / $597.00
| Facility | | $13.73 | $51.03 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.23 / $27.20 / $39.97
| Professional | | $23.23 | $27.20 | $39.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $15.80 / $38.46
| Professional | | $9.67 | $15.80 | $38.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $26.16
| Facility | | $26.16 | $26.16 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.61 / $23.35 / $27.34
| Professional | | $21.61 | $23.35 | $27.34 |