- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.62 / $55.63 / $158.34
| Facility | | $16.62 | $55.63 | $158.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $12.47 / $22.41
| Professional | | $7.88 | $12.47 | $22.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.94 / $36.40 / $171.59
| Facility | | $11.94 | $36.40 | $171.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.28 / $13.09 / $31.88
| Professional | | $6.28 | $13.09 | $31.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $36.86 / $64.45
| Facility | | $23.15 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $16.75
| Professional | | $12.30 | $12.30 | $16.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $19.44 / $44.74
| Facility | | $9.15 | $19.44 | $44.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $14.47 / $22.15
| Professional | | $7.91 | $14.47 | $22.15 |
- 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
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.09 / $18.14 / $48.74
| Professional | | $13.09 | $18.14 | $48.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.28 / $15.42 / $131.71
| Facility | | $12.28 | $15.42 | $131.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.55 / $171.59 / $171.59
| Facility | | $53.55 | $171.59 | $171.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $7.85 / $27.65
| Professional | | $2.10 | $7.85 | $27.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.10 / $7.85 / $24.95
| Professional | | $2.10 | $7.85 | $24.95 |