- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.17 / $43.85 / $144.62
| Facility | | $16.17 | $43.85 | $144.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $13.72 / $27.82
| Professional | | $11.33 | $13.72 | $27.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Professional | | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.79 / $36.95 / $293.00
| Facility | | $16.79 | $36.95 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $12.07 / $36.97
| Professional | | $7.57 | $12.07 | $36.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.68 / $85.50 / $196.97
| Facility | | $39.68 | $85.50 | $196.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.50 / $13.57 / $73.54
| Professional | | $9.50 | $13.57 | $73.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $20.12 / $51.29
| Facility | | $10.60 | $20.12 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $18.14 / $25.46
| Professional | | $10.19 | $18.14 | $25.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $15.32 / $24.51
| Professional | | $13.62 | $15.32 | $24.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $15.32 / $34.72
| Professional | | $12.26 | $15.32 | $34.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.28 / $127.51 / $127.51
| Facility | | $100.28 | $127.51 | $127.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $9.19 / $9.19
| Professional | | $9.19 | $9.19 | $9.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.72 / $18.32 / $44.00
| Facility | | $12.72 | $18.32 | $44.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.32 / $30.64
| Professional | | $10.19 | $15.32 | $30.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.77 / $53.77 / $53.77
| Professional | | $53.77 | $53.77 | $53.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $13.89 / $19.07
| Professional | | $12.26 | $13.89 | $19.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $10.51 / $11.33
| Facility | | $6.89 | $10.51 | $11.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.19 / $29.79
| Professional | | $6.43 | $9.19 | $29.79 |