- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.71 / $87.55 / $365.95
| Facility | | $18.71 | $87.55 | $365.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $11.21 / $12.18
| Professional | | $9.68 | $11.21 | $12.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $12.90 / $62.82
| Facility | | $12.90 | $12.90 | $62.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $6.37 / $7.80
| Professional | | $6.37 | $6.37 | $7.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.18 / $58.35 / $87.35
| Professional | | $38.18 | $58.35 | $87.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $32.69 / $65.40
| Facility | | $9.02 | $32.69 | $65.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.31 / $8.64 / $14.87
| Professional | | $7.31 | $8.64 | $14.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.48 / $16.13 / $19.09
| Professional | | $15.48 | $16.13 | $19.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.67 / $11.25 / $12.18
| Facility | | $10.67 | $11.25 | $12.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.00 / $19.48 / $27.00
| Professional | | $17.00 | $19.48 | $27.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $17.19 / $4,071.00
| Facility | | $10.02 | $17.19 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $17.19 / $4,071.00
| Professional | | $10.02 | $17.19 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.51 / $6.45 / $8.39
| Facility | | $4.51 | $6.45 | $8.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.74 / $10.81
| Professional | | $5.42 | $7.74 | $10.81 |