- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.69 / $55.02 / $102.56
| Facility | | $19.69 | $55.02 | $102.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.32 / $18.01 / $18.75
| Professional | | $17.32 | $18.01 | $18.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.86 / $38.94 / $99.06
| Facility | | $18.86 | $38.94 | $99.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.92 / $20.67 / $50.35
| Professional | | $9.92 | $20.67 | $50.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.67 / $61.53 / $101.68
| Facility | | $40.67 | $61.53 | $101.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.43 / $19.43 / $26.44
| Professional | | $19.43 | $19.43 | $26.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.44 / $30.69 / $70.63
| Facility | | $14.44 | $30.69 | $70.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.49 / $22.86 / $34.79
| Professional | | $12.49 | $22.86 | $34.79 |
- 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
- $29.87 / $29.87 / $35.14
| Professional | | $29.87 | $29.87 | $35.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.67 / $28.65 / $76.95
| Professional | | $20.67 | $28.65 | $76.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.59 / $26.94 / $233.11
| Facility | | $18.59 | $26.94 | $233.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.94 / $99.06 / $99.06
| Facility | | $38.94 | $99.06 | $99.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.40 / $43.65
| Professional | | $8.40 | $12.40 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.23 / $21.31 / $26.14
| Professional | | $18.23 | $21.31 | $26.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.40 / $39.40
| Professional | | $8.40 | $12.40 | $39.40 |