- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $80.93 / $154.76
| Facility | | $16.69 | $80.93 | $154.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.90 / $17.57 / $19.63
| Professional | | $15.90 | $17.57 | $19.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $98.99 / $128.55 / $8,639.91
| Facility | | $98.99 | $128.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.31 / $15.31 / $15.31
| Professional | | $15.31 | $15.31 | $15.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.91 / $26.14 / $65.20
| Facility | | $12.91 | $26.14 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.72 / $34.27
| Professional | | $12.27 | $22.72 | $34.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $11.58 / $26.58
| Professional | | $9.02 | $11.58 | $26.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.75 / $46.17 / $162.63
| Facility | | $27.75 | $46.17 | $162.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.78 / $15.39 / $19.00
| Professional | | $11.78 | $15.39 | $19.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $58.74 / $154.76
| Facility | | $16.69 | $58.74 | $154.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.31 / $17.66 / $81.06
| Professional | | $15.31 | $17.66 | $81.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $29.82 / $65.20
| Facility | | $13.14 | $29.82 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $22.72 / $34.27
| Professional | | $12.27 | $22.72 | $34.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.63 / $19.63 / $19.63
| Facility | | $19.63 | $19.63 | $19.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $19.63 / $25.50
| Professional | | $17.27 | $19.63 | $25.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $12.76 / $34.39
| Professional | | $8.83 | $12.76 | $34.39 |