- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.49 / $50.97 / $128.83
| Facility | | $21.49 | $50.97 | $128.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $17.21 / $31.43
| Professional | | $11.74 | $17.21 | $31.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.47 / $32.31 / $86.10
| Facility | | $16.47 | $32.31 | $86.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $18.05 / $43.99
| Professional | | $10.84 | $18.05 | $43.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.90 / $50.79 / $88.80
| Facility | | $31.90 | $50.79 | $88.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $23.11
| Professional | | $16.98 | $16.98 | $23.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.62 / $26.81 / $61.68
| Facility | | $12.62 | $26.81 | $61.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $19.97 / $30.73
| Professional | | $10.82 | $19.97 | $30.73 |
- 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
- $26.14 / $26.14 / $30.75
| Professional | | $26.14 | $26.14 | $30.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.05 / $25.03 / $67.20
| Professional | | $18.05 | $25.03 | $67.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $21.26 / $23.87
| Facility | | $16.23 | $21.26 | $23.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $86.10 / $86.10
| Facility | | $32.31 | $86.10 | $86.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $12.11 / $38.11
| Professional | | $8.67 | $12.11 | $38.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.45 / $18.45 / $21.58
| Facility | | $18.45 | $18.45 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $12.60 / $34.42
| Professional | | $8.67 | $12.60 | $34.42 |