- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $48.98 / $158.49
| Facility | | $22.91 | $48.98 | $158.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $15.14 / $61.66
| Professional | | $11.75 | $15.14 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $23.44 / $138.04
| Facility | | $15.14 | $23.44 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $16.60 / $35.48
| Professional | | $7.08 | $16.60 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $40.74 / $64.57
| Facility | | $32.36 | $40.74 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $21.38
| Professional | | $15.85 | $15.85 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $26.30 / $64.57
| Facility | | $12.88 | $26.30 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $20.42 / $28.18
| Professional | | $12.02 | $20.42 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $3,630.78 / $9,772.37
| Facility | | $23.99 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $28.84
| Professional | | $24.55 | $24.55 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $50.12
| Professional | | $16.60 | $16.60 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $38.90 / $239.88
| Facility | | $19.50 | $38.90 | $239.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $23.44 / $138.04
| Facility | | $15.14 | $23.44 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $16.60 / $35.48
| Professional | | $7.94 | $16.60 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $16.60 / $28.18
| Facility | | $9.55 | $16.60 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $14.13 / $39.81
| Professional | | $4.37 | $14.13 | $39.81 |