- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $85.39 / $177.72
| Facility | | $15.84 | $85.39 | $177.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.51 / $18.05 / $25.03
| Professional | | $12.51 | $18.05 | $25.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $12.52 / $20.86
| Professional | | $5.63 | $12.52 | $20.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.95 / $64.87 / $119.35
| Facility | | $22.95 | $64.87 | $119.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $11.47 / $15.44
| Professional | | $5.00 | $11.47 | $15.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.82 / $32.33 / $143.54
| Facility | | $19.82 | $32.33 | $143.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.65 / $20.83 / $33.38
| Professional | | $15.65 | $20.83 | $33.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.86 / $20.86 / $20.86
| Facility | | $20.86 | $20.86 | $20.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.58 / $45.83 / $105.77
| Facility | | $14.58 | $45.83 | $105.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $16.23 / $35.01
| Professional | | $11.06 | $16.23 | $35.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.00 / $99.09 / $100.00
| Facility | | $72.00 | $99.09 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.57 / $30.23 / $34.34
| Professional | | $18.57 | $30.23 | $34.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $20.86 / $47.02
| Facility | | $16.69 | $20.86 | $47.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.77 / $20.86 / $37.84
| Professional | | $18.77 | $20.86 | $37.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.40 / $45.71 / $86.24
| Facility | | $33.40 | $45.71 | $86.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $20.86 / $51.91
| Facility | | $16.69 | $20.86 | $51.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $17.48 / $30.14
| Professional | | $11.06 | $17.48 | $30.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $12.24 / $17.93
| Professional | | $8.76 | $12.24 | $17.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $10.30 / $20.86
| Professional | | $8.14 | $10.30 | $20.86 |