- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $57.39 / $369.48
| Facility | | $14.13 | $57.39 | $369.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $12.22 / $12.43
| Professional | | $8.92 | $12.22 | $12.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $8.23 / $8.23
| Professional | | $8.23 | $8.23 | $8.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.11 / $89.74 / $8,639.91
| Facility | | $69.11 | $89.74 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $10.70 / $10.70
| Professional | | $10.70 | $10.70 | $10.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $18.27 / $45.64
| Facility | | $9.02 | $18.27 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $24.12
| Professional | | $8.53 | $15.69 | $24.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $10.52 / $18.57
| Professional | | $6.31 | $10.52 | $18.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.64 / $38.90 / $151.97
| Facility | | $20.64 | $38.90 | $151.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $10.62 / $13.00
| Professional | | $8.23 | $10.62 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $47.33 / $324.01
| Facility | | $11.66 | $47.33 | $324.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $12.34 / $47.33
| Professional | | $9.88 | $12.34 | $47.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $20.82 / $45.64
| Facility | | $9.19 | $20.82 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $24.12
| Professional | | $8.53 | $15.69 | $24.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.72 / $13.72 / $21.91
| Facility | | $13.72 | $13.72 | $21.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.72 / $21.91 / $21.91
| Professional | | $13.72 | $21.91 | $21.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $16.46 / $16.46
| Facility | | $12.35 | $16.46 | $16.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $8.77 / $25.11
| Professional | | $5.76 | $8.77 | $25.11 |