- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $51.29 / $275.42
| Facility | | $20.42 | $51.29 | $275.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $12.88 / $39.81
| Professional | | $9.12 | $12.88 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.95 / $204.17
| Facility | | $12.88 | $19.95 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $13.80 / $29.51
| Professional | | $5.89 | $13.80 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $34.67 / $48.98
| Facility | | $27.54 | $34.67 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $13.80
| Professional | | $13.18 | $13.18 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $22.39 / $54.95
| Facility | | $10.96 | $22.39 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.23 / $23.99
| Professional | | $7.94 | $10.23 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $3,630.78 / $9,772.37
| Facility | | $15.49 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $23.99
| Professional | | $20.42 | $20.42 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $33.11
| Professional | | $14.13 | $14.13 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $41.69 / $173.78
| Facility | | $16.22 | $41.69 | $173.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $19.95 / $204.17
| Facility | | $12.88 | $19.95 | $204.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $14.13 / $29.51
| Professional | | $6.76 | $14.13 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $14.13 / $22.91
| Facility | | $8.13 | $14.13 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $8.91 / $28.18
| Professional | | $3.16 | $8.91 | $28.18 |