- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $120.23 / $1,318.26
| Facility | | $23.44 | $120.23 | $1,318.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.79 / $38.90
| Professional | | $10.96 | $14.79 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $45.71 / $46.77
| Facility | | $36.31 | $45.71 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $58.88
| Professional | | $8.32 | $8.32 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Facility | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.77 / $54.95 / $87.10
| Facility | | $46.77 | $54.95 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $23.99 / $52.48
| Professional | | $19.50 | $23.99 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $37.15 / $114.82
| Facility | | $15.14 | $37.15 | $114.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $15.85 / $338.84
| Facility | | $13.18 | $15.85 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $12.02 / $35.48
| Professional | | $9.77 | $12.02 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $29.51 / $64.57
| Professional | | $8.51 | $29.51 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $43.65 / $70.79
| Professional | | $21.88 | $43.65 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $33.88 / $338.84
| Facility | | $33.88 | $33.88 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $11.22 / $16.60
| Professional | | $8.91 | $11.22 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.31 / $36.31 / $169.82
| Professional | | $36.31 | $36.31 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.54 / $112.20 / $169.82
| Professional | | $57.54 | $112.20 | $169.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $15.14 / $20.42
| Facility | | $12.59 | $15.14 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $12.02 / $37.15
| Professional | | $8.51 | $12.02 | $37.15 |