- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.38 / $54.98 / $84.55
| Facility | | $16.38 | $54.98 | $84.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.97 / $18.02 / $18.32
| Professional | | $15.97 | $18.02 | $18.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.92 / $132.35 / $8,639.91
| Facility | | $101.92 | $132.35 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.77 / $15.77 / $15.77
| Professional | | $15.77 | $15.77 | $15.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.29 / $26.92 / $67.37
| Facility | | $13.29 | $26.92 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.54 / $35.54
| Professional | | $12.74 | $23.54 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $11.93 / $27.38
| Professional | | $9.30 | $11.93 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.11 / $47.11 / $47.11
| Facility | | $47.11 | $47.11 | $47.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.19 / $54.98 / $84.55
| Facility | | $17.19 | $54.98 | $84.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $18.10 / $83.51
| Professional | | $14.56 | $18.10 | $83.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.53 / $30.71 / $67.37
| Facility | | $13.53 | $30.71 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.54 / $35.54
| Professional | | $12.74 | $23.54 | $35.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.22 / $20.22 / $20.22
| Facility | | $20.22 | $20.22 | $20.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.79 / $20.22 / $28.77
| Professional | | $17.79 | $20.22 | $28.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $24.26 / $24.26
| Facility | | $18.20 | $24.26 | $24.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $12.60 / $37.00
| Professional | | $9.10 | $12.60 | $37.00 |