- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.07 / $19.66 / $188.04
| Facility | | $0.07 | $19.66 | $188.04 |
- 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
- $10.92 / $10.92 / $12.29
| Professional | | $10.92 | $10.92 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $9.64 / $20.86
| Professional | | $6.48 | $9.64 | $20.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $16.11 / $16.11
| Facility | | $9.67 | $16.11 | $16.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $16.11 / $16.11
| Professional | | $8.58 | $16.11 | $16.11 |
- 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 / $28.07 / $115.39
| Professional | | $14.53 | $28.07 | $115.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $21.53
| Professional | | $5.05 | $5.05 | $21.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Facility | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $22.72 / $23.84
| Professional | | $5.05 | $22.72 | $23.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $4.04 / $4.24
| Professional | | $4.04 | $4.04 | $4.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.77 / $19.66 / $147.94
| Facility | | $5.77 | $19.66 | $147.94 |
- 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
- $20.75 / $20.75 / $35.09
| Professional | | $20.75 | $20.75 | $35.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $15.56 / $40.72
| Professional | | $9.67 | $15.56 | $40.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $36.11
| Facility | | $26.16 | $26.16 | $36.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.19 / $23.35 / $27.34
| Professional | | $20.19 | $23.35 | $27.34 |