- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.70 / $69.48 / $106.83
| Facility | | $20.70 | $69.48 | $106.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.18 / $22.24 / $22.67
| Professional | | $20.18 | $22.24 | $22.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $126.10 / $163.75 / $8,639.91
| Facility | | $126.10 | $163.75 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.93 / $19.93 / $19.93
| Professional | | $19.93 | $19.93 | $19.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.79 / $34.03 / $84.76
| Facility | | $16.79 | $34.03 | $84.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $29.32 / $44.01
| Professional | | $15.69 | $29.32 | $44.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $15.07 / $34.59
| Professional | | $11.75 | $15.07 | $34.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.42 / $48.01 / $78.58
| Facility | | $36.42 | $48.01 | $78.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.33 / $15.33 / $15.33
| Professional | | $15.33 | $15.33 | $15.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.70 / $66.68 / $106.83
| Facility | | $20.70 | $66.68 | $106.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $22.39 / $105.52
| Professional | | $18.39 | $22.39 | $105.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.11 / $37.97 / $84.76
| Facility | | $17.11 | $37.97 | $84.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $29.32 / $44.01
| Professional | | $15.69 | $29.32 | $44.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.55 / $25.55 / $25.55
| Facility | | $25.55 | $25.55 | $25.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.48 / $25.55 / $35.61
| Professional | | $22.48 | $25.55 | $35.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.50 / $15.84 / $44.46
| Professional | | $11.50 | $15.84 | $44.46 |