- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.43 / $50.88 / $93.89
| Facility | | $18.43 | $50.88 | $93.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.41 / $18.43 / $27.71
| Professional | | $17.41 | $18.43 | $27.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $38.99 / $147.81
| Facility | | $17.64 | $38.99 | $147.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.59 / $22.41 / $54.59
| Professional | | $9.59 | $22.41 | $54.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.95 / $54.07 / $94.53
| Facility | | $33.95 | $54.07 | $94.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.07 / $21.07 / $24.75
| Professional | | $21.07 | $21.07 | $24.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.66 / $29.20 / $66.12
| Facility | | $15.66 | $29.20 | $66.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $21.39 / $34.08
| Professional | | $13.53 | $21.39 | $34.08 |
- 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
- $32.20 / $32.20 / $37.89
| Professional | | $32.20 | $32.20 | $37.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.41 / $31.06 / $74.40
| Professional | | $22.41 | $31.06 | $74.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.39 / $23.75 / $25.21
| Facility | | $17.39 | $23.75 | $25.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.99 / $147.81 / $147.81
| Facility | | $38.99 | $147.81 | $147.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $13.45 / $40.83
| Professional | | $8.40 | $13.45 | $40.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $13.45 / $40.83
| Professional | | $8.40 | $13.45 | $40.83 |