- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.78 / $59.51 / $124.93
| Facility | | $26.78 | $59.51 | $124.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.71 / $15.13 / $28.96
| Professional | | $13.71 | $15.13 | $28.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.58 / $36.70 / $100.18
| Facility | | $15.58 | $36.70 | $100.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $21.09 / $48.09
| Professional | | $8.44 | $21.09 | $48.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.79 / $51.14 / $84.50
| Facility | | $33.79 | $51.14 | $84.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.70 / $25.77 / $52.96
| Facility | | $14.70 | $25.77 | $52.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.38 / $17.13 / $32.01
| Professional | | $11.38 | $17.13 | $32.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.34 / $30.34 / $35.70
| Professional | | $30.34 | $30.34 | $35.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.09 / $29.23 / $67.91
| Professional | | $21.09 | $29.23 | $67.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.20 / $35.82 / $89.51
| Facility | | $20.20 | $35.82 | $89.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.70 / $100.18 / $100.18
| Facility | | $36.70 | $100.18 | $100.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $12.65 / $32.72
| Professional | | $4.20 | $12.65 | $32.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.21 / $23.33 / $48.09
| Facility | | $17.21 | $23.33 | $48.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.84 / $18.60 / $22.82
| Professional | | $15.84 | $18.60 | $22.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $12.65 / $32.72
| Professional | | $4.20 | $12.65 | $32.72 |