- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.78 / $59.14 / $146.63
| Facility | | $20.78 | $59.14 | $146.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $11.85 / $19.04
| Professional | | $10.82 | $11.85 | $19.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.41 / $23.90 / $72.80
| Facility | | $12.41 | $23.90 | $72.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.53 / $13.60 / $33.13
| Professional | | $6.53 | $13.60 | $33.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.80 / $38.50 / $67.30
| Facility | | $20.80 | $38.50 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.78 / $12.78 / $14.52
| Professional | | $12.78 | $12.78 | $14.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.51 / $20.20 / $46.46
| Facility | | $9.51 | $20.20 | $46.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.61 / $23.05
| Professional | | $8.11 | $12.61 | $23.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.41 / $3,472.00 / $9,239.00
| Facility | | $51.41 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $19.60 / $23.06
| Professional | | $19.60 | $19.60 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.60 / $18.85 / $48.50
| Professional | | $13.60 | $18.85 | $48.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $16.55 / $61.75
| Facility | | $14.80 | $16.55 | $61.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.90 / $72.80 / $72.80
| Facility | | $23.90 | $72.80 | $72.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $8.16 / $23.97
| Professional | | $3.15 | $8.16 | $23.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.54 / $16.35 / $31.01
| Facility | | $12.54 | $16.35 | $31.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $8.16 / $24.34
| Professional | | $3.15 | $8.16 | $24.34 |