- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.11 / $157.85 / $452.76
| Facility | | $16.11 | $157.85 | $452.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $15.95 / $31.20
| Professional | | $10.74 | $15.95 | $31.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $10.74 / $17.89
| Professional | | $6.27 | $10.74 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.26 / $56.38 / $104.98
| Facility | | $18.26 | $56.38 | $104.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.49 / $14.32
| Professional | | $5.00 | $9.49 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.54 / $28.35 / $187.34
| Facility | | $16.54 | $28.35 | $187.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $17.71 / $26.85
| Professional | | $12.53 | $17.71 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $18.79 / $18.79
| Facility | | $17.89 | $18.79 | $18.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $39.34 / $81.41
| Facility | | $12.51 | $39.34 | $81.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $13.31 / $27.36
| Professional | | $9.49 | $13.31 | $27.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $124.49 / $158.28 / $158.28
| Facility | | $124.49 | $158.28 | $158.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.43 / $17.89 / $26.64
| Facility | | $13.43 | $17.89 | $26.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.11 / $17.89 / $20.87
| Professional | | $16.11 | $17.89 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $363.40 / $497.33 / $3,710.45
| Facility | | $363.40 | $497.33 | $3,710.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.60 / $17.89 / $49.45
| Facility | | $13.60 | $17.89 | $49.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $13.78 / $23.14
| Professional | | $9.49 | $13.78 | $23.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $10.51 / $15.39
| Professional | | $7.52 | $10.51 | $15.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.98 / $8.84 / $17.89
| Professional | | $6.98 | $8.84 | $17.89 |