- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.87 / $66.68 / $123.59
| Facility | | $23.87 | $66.68 | $123.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.60 / $23.87 / $44.78
| Professional | | $22.60 | $23.87 | $44.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.85 / $50.60 / $138.13
| Facility | | $22.85 | $50.60 | $138.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.42 / $29.08 / $70.83
| Professional | | $12.42 | $29.08 | $70.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.24 / $70.44 / $123.15
| Facility | | $44.24 | $70.44 | $123.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.34 / $27.34 / $32.04
| Professional | | $27.34 | $27.34 | $32.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $37.79 / $85.62
| Facility | | $20.32 | $37.79 | $85.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.48 / $27.70 / $44.40
| Professional | | $17.48 | $27.70 | $44.40 |
- 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
- $42.01 / $42.01 / $49.42
| Professional | | $42.01 | $42.01 | $49.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.08 / $40.29 / $96.55
| Professional | | $29.08 | $40.29 | $96.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.28 / $75.28 / $75.28
| Facility | | $75.28 | $75.28 | $75.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.60 / $138.13 / $138.13
| Facility | | $50.60 | $138.13 | $138.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $17.45 / $52.89
| Professional | | $11.55 | $17.45 | $52.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $17.45 / $44.86
| Professional | | $11.55 | $17.45 | $44.86 |