- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.99 / $41.00 / $122.07
| Facility | | $20.99 | $41.00 | $122.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.16 / $13.61 / $17.71
| Professional | | $13.16 | $13.61 | $17.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.98 / $42.61 / $127.51
| Facility | | $13.98 | $42.61 | $127.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $15.32 / $46.80
| Professional | | $9.19 | $15.32 | $46.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $42.60 / $74.48
| Facility | | $26.75 | $42.60 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.40 / $14.40 / $18.27
| Professional | | $14.40 | $14.40 | $18.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $22.78 / $52.35
| Facility | | $10.70 | $22.78 | $52.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $15.80 / $25.76
| Professional | | $9.16 | $15.80 | $25.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.94 / $21.94 / $25.81
| Professional | | $21.94 | $21.94 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.32 / $21.23 / $54.84
| Professional | | $15.32 | $21.23 | $54.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.37 / $18.62 / $201.45
| Facility | | $14.37 | $18.62 | $201.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.45 / $127.51 / $127.51
| Facility | | $73.45 | $127.51 | $127.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $10.28 / $46.80
| Professional | | $7.35 | $10.28 | $46.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $9.19 / $10.52
| Facility | | $6.89 | $9.19 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.98 / $46.80
| Professional | | $7.35 | $11.98 | $46.80 |