- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.04 / $35.95 / $72.92
| Facility | | $0.04 | $35.95 | $72.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.33 / $21.05 / $29.37
| Professional | | $13.33 | $21.05 | $29.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.16 / $23.46 / $201.78
| Facility | | $15.16 | $23.46 | $201.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $21.97 / $33.85
| Professional | | $5.25 | $21.97 | $33.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.12 / $94.86 / $171.85
| Facility | | $29.12 | $94.86 | $171.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.80 / $18.80 / $18.80
| Professional | | $18.80 | $18.80 | $18.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2.49 / $27.29 / $56.73
| Facility | | $2.49 | $27.29 | $56.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $22.48 / $28.91
| Professional | | $10.66 | $22.48 | $28.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.52 / $3,472.00 / $9,239.00
| Facility | | $49.52 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.34 / $51.34 / $60.40
| Professional | | $51.34 | $51.34 | $60.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $23.28 / $56.26
| Professional | | $16.80 | $23.28 | $56.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.47 / $6.47 / $13.21
| Facility | | $6.47 | $6.47 | $13.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.69 / $201.78 / $201.78
| Facility | | $70.69 | $201.78 | $201.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $20.63 / $33.85
| Professional | | $5.25 | $20.63 | $33.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $23.62 / $173.81
| Professional | | $7.29 | $23.62 | $173.81 |