- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $42.66 / $77.62
| Facility | | $16.98 | $42.66 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.22 / $83.18
| Professional | | $12.88 | $16.22 | $83.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $25.70 / $104.71
| Facility | | $16.60 | $25.70 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $60.26
| Professional | | $10.96 | $18.20 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $44.67 / $72.44
| Facility | | $36.31 | $44.67 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $23.44
| Professional | | $17.38 | $17.38 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $29.51 / $70.79
| Facility | | $14.45 | $29.51 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $22.39 / $30.90
| Professional | | $13.49 | $22.39 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $3,630.78 / $9,772.37
| Facility | | $26.92 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $31.62
| Professional | | $26.30 | $26.30 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $57.54
| Professional | | $18.20 | $18.20 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $22.91
| Facility | | $16.60 | $16.60 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $25.70 / $104.71
| Facility | | $16.60 | $25.70 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $60.26
| Professional | | $10.96 | $18.20 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $18.20 / $30.20
| Facility | | $10.47 | $18.20 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $16.22 / $60.26
| Professional | | $9.12 | $16.22 | $60.26 |