- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $47.86 / $123.03
| Facility | | $22.39 | $47.86 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.85 / $114.82
| Professional | | $10.96 | $15.85 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.50 / $81.28
| Facility | | $12.88 | $19.50 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $17.38 / $36.31
| Professional | | $10.47 | $17.38 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $34.67 / $50.12
| Facility | | $27.54 | $34.67 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.98
| Professional | | $16.22 | $16.22 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $12.59 / $28.18
| Facility | | $11.22 | $12.59 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $20.89 / $26.30
| Professional | | $9.55 | $20.89 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $3,630.78 / $9,772.37
| Facility | | $18.20 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $28.84
| Professional | | $24.55 | $24.55 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $37.15
| Professional | | $17.38 | $17.38 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.10 / $64.57 / $194.98
| Facility | | $63.10 | $64.57 | $194.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.95 / $81.28
| Facility | | $12.88 | $19.95 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $17.38 / $36.31
| Professional | | $10.47 | $17.38 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $17.38 / $20.89
| Facility | | $10.47 | $17.38 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.47 / $37.15
| Professional | | $7.76 | $10.47 | $37.15 |