- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.82 / $43.50 / $137.28
| Facility | | $13.82 | $43.50 | $137.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $12.33 / $17.05
| Professional | | $10.11 | $12.33 | $17.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $10.24 / $10.24
| Professional | | $10.24 | $10.24 | $10.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.47 / $75.93 / $8,639.91
| Facility | | $58.47 | $75.93 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.31 / $13.31 / $13.31
| Professional | | $13.31 | $13.31 | $13.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $22.18 / $56.50
| Facility | | $11.22 | $22.18 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $19.13 / $25.32
| Professional | | $7.30 | $19.13 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $10.07 / $23.10
| Professional | | $7.85 | $10.07 | $23.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.60 / $52.16 / $362.14
| Facility | | $23.60 | $52.16 | $362.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $11.00 / $28.04
| Professional | | $10.24 | $11.00 | $28.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.50 / $41.80 / $85.69
| Facility | | $14.50 | $41.80 | $85.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $13.48 / $70.45
| Professional | | $10.39 | $13.48 | $70.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $22.72 / $56.50
| Facility | | $11.09 | $22.72 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $19.13 / $24.78
| Professional | | $7.30 | $19.13 | $24.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $17.05 / $17.05
| Facility | | $16.50 | $17.05 | $17.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.01 / $17.05 / $17.05
| Professional | | $15.01 | $17.05 | $17.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.35 / $20.47 / $20.47
| Facility | | $15.35 | $20.47 | $20.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.17 / $10.24 / $32.40
| Professional | | $7.17 | $10.24 | $32.40 |