- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.72 / $181.92 / $350.67
| Facility | | $20.72 | $181.92 | $350.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $12.95 / $20.72
| Professional | | $9.67 | $12.95 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.28 / $8.28 / $8.28
| Professional | | $8.28 | $8.28 | $8.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $51.81 / $96.88
| Facility | | $18.64 | $51.81 | $96.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.50 / $13.82
| Professional | | $5.00 | $9.50 | $13.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.32 / $24.18 / $226.91
| Facility | | $16.32 | $24.18 | $226.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.09 / $16.32 / $24.18
| Professional | | $12.09 | $16.32 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $16.78 / $17.27
| Facility | | $16.78 | $16.78 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $34.36 / $77.01
| Facility | | $11.10 | $34.36 | $77.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $12.96 / $26.33
| Professional | | $8.33 | $12.96 | $26.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.63 / $82.03 / $82.03
| Facility | | $27.63 | $82.03 | $82.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $17.27 / $34.26
| Facility | | $12.95 | $17.27 | $34.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.54 / $17.27 / $17.27
| Professional | | $15.54 | $17.27 | $17.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $662.00 / $879.00 / $1,418.00
| Facility | | $662.00 | $879.00 | $1,418.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $17.27 / $34.26
| Facility | | $12.09 | $17.27 | $34.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $13.30 / $21.87
| Professional | | $8.33 | $13.30 | $21.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $7.25 / $10.36
| Professional | | $7.25 | $7.25 | $10.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $6.91 / $17.27
| Professional | | $6.74 | $6.91 | $17.27 |