- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.52 / $44.98 / $89.23
| Facility | | $17.52 | $44.98 | $89.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.11 / $17.52 / $24.03
| Professional | | $16.11 | $17.52 | $24.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $33.14 / $104.14
| Facility | | $16.78 | $33.14 | $104.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $18.39 / $60.20
| Professional | | $11.03 | $18.39 | $60.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.40 / $51.61 / $90.23
| Facility | | $32.40 | $51.61 | $90.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.29 / $17.29 / $23.53
| Professional | | $17.29 | $17.29 | $23.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.85 / $27.32 / $62.87
| Facility | | $12.85 | $27.32 | $62.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $20.34 / $31.19
| Professional | | $11.03 | $20.34 | $31.19 |
- 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
- $26.60 / $26.60 / $31.30
| Professional | | $26.60 | $26.60 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $25.49 / $68.47
| Professional | | $18.39 | $25.49 | $68.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.54 / $22.40 / $23.07
| Facility | | $16.54 | $22.40 | $23.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $104.14 / $104.14
| Facility | | $32.31 | $104.14 | $104.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $12.34 / $60.20
| Professional | | $8.83 | $12.34 | $60.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $12.34 / $60.20
| Professional | | $8.83 | $12.34 | $60.20 |