- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $51.29 / $104.71
| Facility | | $22.91 | $51.29 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $18.20 / $75.86
| Professional | | $15.14 | $18.20 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $26.30 / $245.47
| Facility | | $16.98 | $26.30 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $21.88 / $47.86
| Professional | | $13.80 | $21.88 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $45.71 / $66.07
| Facility | | $36.31 | $45.71 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $22.39
| Professional | | $21.38 | $21.38 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $29.51 / $64.57
| Facility | | $15.85 | $29.51 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $28.18 / $35.48
| Professional | | $12.88 | $28.18 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $3,630.78 / $9,772.37
| Facility | | $15.49 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.11 / $33.11 / $38.90
| Professional | | $33.11 | $33.11 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $52.48
| Professional | | $22.91 | $22.91 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $123.03 / $158.49
| Facility | | $15.14 | $123.03 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $26.30 / $245.47
| Facility | | $16.98 | $26.30 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $22.91 / $47.86
| Professional | | $13.80 | $22.91 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $22.91 / $27.54
| Facility | | $11.48 | $22.91 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $45.71
| Professional | | $10.96 | $18.20 | $45.71 |