- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.62 / $55.80 / $85.82
| Facility | | $16.62 | $55.80 | $85.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.21 / $17.89 / $18.62
| Professional | | $16.21 | $17.89 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.73 / $113.93 / $8,639.91
| Facility | | $87.73 | $113.93 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.01 / $16.01 / $16.01
| Professional | | $16.01 | $16.01 | $16.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $27.33 / $68.45
| Facility | | $13.49 | $27.33 | $68.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $23.54 / $35.97
| Professional | | $12.89 | $23.54 | $35.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $12.11 / $27.78
| Professional | | $9.44 | $12.11 | $27.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.27 / $52.27 / $52.27
| Facility | | $52.27 | $52.27 | $52.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.62 / $55.80 / $85.82
| Facility | | $16.62 | $55.80 | $85.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.77 / $18.37 / $84.75
| Professional | | $14.77 | $18.37 | $84.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $31.19 / $68.45
| Facility | | $13.74 | $31.19 | $68.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $23.54 / $35.97
| Professional | | $12.89 | $23.54 | $35.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.52 / $20.52 / $20.52
| Facility | | $20.52 | $20.52 | $20.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.05 / $20.52 / $24.77
| Professional | | $18.05 | $20.52 | $24.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $12.31 / $35.70
| Professional | | $9.23 | $12.31 | $35.70 |