- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.20 / $51.04 / $96.58
| Facility | | $15.20 | $51.04 | $96.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $13.47 / $18.77
| Professional | | $9.39 | $13.47 | $18.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.68 / $76.20 / $8,639.91
| Facility | | $58.68 | $76.20 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.64 / $14.64 / $14.64
| Professional | | $14.64 | $14.64 | $14.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.34 / $24.40 / $61.94
| Facility | | $12.34 | $24.40 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $21.04 / $27.91
| Professional | | $8.39 | $21.04 | $27.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $11.07 / $25.41
| Professional | | $8.63 | $11.07 | $25.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.70 / $47.82 / $101.90
| Facility | | $27.70 | $47.82 | $101.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $11.26 / $11.26
| Professional | | $11.00 | $11.26 | $11.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.55 / $49.55 / $83.75
| Facility | | $17.55 | $49.55 | $83.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.58 / $13.67 / $77.52
| Professional | | $11.58 | $13.67 | $77.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.26 / $24.99 / $61.94
| Facility | | $12.26 | $24.99 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $21.04 / $26.85
| Professional | | $8.39 | $21.04 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.77 / $18.77 / $18.77
| Facility | | $18.77 | $18.77 | $18.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.52 / $18.77 / $18.77
| Professional | | $16.52 | $18.77 | $18.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $11.26 / $31.91
| Professional | | $7.51 | $11.26 | $31.91 |