- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $41.69 / $141.25
| Facility | | $18.20 | $41.69 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.85 / $75.86
| Professional | | $12.88 | $15.85 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $25.70 / $190.55
| Facility | | $16.60 | $25.70 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $18.20 / $38.02
| Professional | | $7.76 | $18.20 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $44.67 / $67.61
| Facility | | $36.31 | $44.67 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $21.38
| Professional | | $17.38 | $17.38 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $28.84 / $70.79
| Facility | | $14.13 | $28.84 | $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
- $15.85 / $3,630.78 / $9,772.37
| Facility | | $15.85 | $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 / $51.29
| Professional | | $18.20 | $18.20 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $25.70 / $190.55
| Facility | | $16.60 | $25.70 | $190.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $18.20 / $38.02
| Professional | | $8.71 | $18.20 | $38.02 |
- 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
- $3.16 / $14.13 / $40.74
| Professional | | $3.16 | $14.13 | $40.74 |