- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $50.12 / $81.28
| Facility | | $19.05 | $50.12 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $16.98 / $85.11
| Professional | | $14.13 | $16.98 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $26.92 / $104.71
| Facility | | $17.38 | $26.92 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $19.05 / $39.81
| Professional | | $7.94 | $19.05 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.15 / $46.77 / $74.13
| Facility | | $37.15 | $46.77 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $23.99
| Professional | | $17.78 | $17.78 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $30.20 / $72.44
| Facility | | $14.79 | $30.20 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $22.91 / $32.36
| Professional | | $13.80 | $22.91 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $3,630.78 / $9,772.37
| Facility | | $26.92 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $27.54 / $32.36
| Professional | | $27.54 | $27.54 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $57.54
| Professional | | $19.05 | $19.05 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $26.92 / $104.71
| Facility | | $17.38 | $26.92 | $104.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $19.05 / $39.81
| Professional | | $9.12 | $19.05 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $19.05 / $30.90
| Facility | | $10.96 | $19.05 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $15.85 / $44.67
| Professional | | $6.92 | $15.85 | $44.67 |