- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.50 / $50.75 / $346.50
| Facility | | $14.50 | $50.75 | $346.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $15.95 / $31.20
| Professional | | $13.24 | $15.95 | $31.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.28 / $117.24 / $8,639.91
| Facility | | $90.28 | $117.24 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.96 / $13.96 / $13.96
| Professional | | $13.96 | $13.96 | $13.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.76 / $23.85 / $59.76
| Facility | | $11.76 | $23.85 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $20.65 / $31.31
| Professional | | $11.18 | $20.65 | $31.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $14.32 / $24.24
| Professional | | $8.23 | $14.32 | $24.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.46 / $45.33 / $129.54
| Facility | | $24.46 | $45.33 | $129.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $17.00
| Professional | | $10.74 | $10.74 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.50 / $47.26 / $242.89
| Facility | | $14.50 | $47.26 | $242.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $16.03 / $73.93
| Professional | | $13.24 | $16.03 | $73.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.99 / $27.19 / $59.76
| Facility | | $11.99 | $27.19 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $20.65 / $31.31
| Professional | | $11.18 | $20.65 | $31.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $17.89
| Facility | | $17.89 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.75 / $17.89 / $25.49
| Professional | | $15.75 | $17.89 | $25.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $11.10 / $31.37
| Professional | | $7.52 | $11.10 | $31.37 |