- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.17 / $66.64 / $270.93
| Facility | | $16.17 | $66.64 | $270.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.04 / $17.25 / $34.50
| Professional | | $15.04 | $17.25 | $34.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $95.98 / $124.64 / $8,639.91
| Facility | | $95.98 | $124.64 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.85 / $14.85 / $14.85
| Professional | | $14.85 | $14.85 | $14.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $25.36 / $63.02
| Facility | | $12.51 | $25.36 | $63.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $21.89 / $33.43
| Professional | | $11.96 | $21.89 | $33.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $15.23 / $25.78
| Professional | | $8.76 | $15.23 | $25.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.34 / $56.89 / $129.54
| Facility | | $26.34 | $56.89 | $129.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $14.96 / $18.50
| Professional | | $11.42 | $14.96 | $18.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $52.12 / $247.38
| Facility | | $16.18 | $52.12 | $247.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $17.26 / $78.64
| Professional | | $14.08 | $17.26 | $78.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $28.92 / $63.02
| Facility | | $12.75 | $28.92 | $63.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.96 / $21.89 / $33.43
| Professional | | $11.96 | $21.89 | $33.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.04 / $19.04 / $19.04
| Facility | | $19.04 | $19.04 | $19.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.76 / $19.04 / $27.10
| Professional | | $16.76 | $19.04 | $27.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $11.67 / $33.13
| Professional | | $8.00 | $11.67 | $33.13 |