- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.64 / $40.94 / $214.28
| Facility | | $16.64 | $40.94 | $214.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $15.32 / $16.64
| Professional | | $13.22 | $15.32 | $16.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.63 / $17.63 / $85.86
| Facility | | $17.63 | $17.63 | $85.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $10.66
| Professional | | $8.71 | $8.71 | $10.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $52.24 / $79.83 / $119.50
| Professional | | $52.24 | $79.83 | $119.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.32 / $46.14 / $90.59
| Facility | | $12.32 | $46.14 | $90.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.99 / $11.80 / $20.65
| Professional | | $9.99 | $11.80 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.16 / $22.04 / $26.09
| Professional | | $21.16 | $22.04 | $26.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.78 / $15.38 / $16.64
| Facility | | $14.78 | $15.38 | $16.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.75 / $26.66 / $42.00
| Professional | | $12.75 | $26.66 | $42.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $24.64 / $4,071.00
| Facility | | $13.71 | $24.64 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.71 / $24.64 / $4,071.00
| Professional | | $13.71 | $24.64 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $17.63 / $30.31
| Facility | | $11.75 | $17.63 | $30.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.40 / $14.54
| Professional | | $7.40 | $10.40 | $14.54 |