- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $55.39 / $85.18
| Facility | | $16.50 | $55.39 | $85.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $16.50 / $84.13
| Professional | | $4.08 | $16.50 | $84.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.93 / $29.78 / $8,639.91
| Facility | | $22.93 | $29.78 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.89 / $15.89 / $15.89
| Professional | | $15.89 | $15.89 | $15.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $26.36 / $59.17
| Facility | | $13.24 | $26.36 | $59.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.83 / $11.70 / $29.43
| Professional | | $2.83 | $11.70 | $29.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $12.02 / $27.58
| Professional | | $4.43 | $12.02 | $27.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $48.12 / $84.13
| Facility | | $16.50 | $48.12 | $84.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $16.70 / $84.13
| Professional | | $12.83 | $16.70 | $84.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.91 / $26.08 / $67.37
| Facility | | $6.91 | $26.08 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.80 / $19.51 / $29.43
| Professional | | $2.80 | $19.51 | $29.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.37 / $20.37 / $20.37
| Facility | | $20.37 | $20.37 | $20.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.47 / $20.37 / $20.37
| Professional | | $6.47 | $20.37 | $20.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.71 / $9.17 / $30.56
| Professional | | $3.71 | $9.17 | $30.56 |