- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $69.18 / $112.20
| Facility | | $25.12 | $69.18 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $23.99 / $120.23
| Professional | | $15.14 | $23.99 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $37.15 / $128.82
| Facility | | $23.99 | $37.15 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $26.30 / $56.23
| Professional | | $11.22 | $26.30 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.48 / $64.57 / $104.71
| Facility | | $52.48 | $64.57 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.12 / $25.12 / $33.88
| Professional | | $25.12 | $25.12 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $42.66 / $102.33
| Facility | | $20.89 | $42.66 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $32.36 / $44.67
| Professional | | $19.50 | $32.36 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $3,630.78 / $9,772.37
| Facility | | $38.02 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $44.67
| Professional | | $38.02 | $38.02 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $81.28
| Professional | | $26.30 | $26.30 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $37.15 / $128.82
| Facility | | $23.99 | $37.15 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $26.30 / $56.23
| Professional | | $12.88 | $26.30 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $26.30 / $44.67
| Facility | | $15.14 | $26.30 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $22.39 / $63.10
| Professional | | $9.33 | $22.39 | $63.10 |