- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.58 / $104.70 / $114.98
| Facility | | $22.58 | $104.70 | $114.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.73 / $21.80 / $109.78
| Professional | | $20.73 | $21.80 | $109.78 |
- 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
- $20.73 / $20.73 / $20.73
| Professional | | $20.73 | $20.73 | $20.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.47 / $35.40 / $88.01
| Facility | | $17.47 | $35.40 | $88.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.62 / $30.56 / $46.55
| Professional | | $16.62 | $30.56 | $46.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $16.41 / $35.99
| Professional | | $12.23 | $16.41 | $35.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.42 / $79.34 / $89.70
| Facility | | $64.42 | $79.34 | $89.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.58 / $72.77 / $114.98
| Facility | | $22.58 | $72.77 | $114.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.26 / $22.59 / $109.78
| Professional | | $20.26 | $22.59 | $109.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $40.38 / $88.01
| Facility | | $17.80 | $40.38 | $88.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.62 / $30.56 / $46.55
| Professional | | $16.62 | $30.56 | $46.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.58 / $26.58 / $26.58
| Facility | | $26.58 | $26.58 | $26.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.39 / $26.58 / $26.58
| Professional | | $23.39 | $26.58 | $26.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $15.95 / $48.64
| Professional | | $11.16 | $15.95 | $48.64 |