- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.45 / $43.40 / $82.63
| Facility | | $4.45 | $43.40 | $82.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $16.29 / $16.64
| Professional | | $5.30 | $16.29 | $16.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.39 / $25.33 / $85.41
| Facility | | $16.39 | $25.33 | $85.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.39 / $16.39 / $43.80
| Professional | | $5.39 | $16.39 | $43.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $49.02 / $88.80
| Facility | | $9.19 | $49.02 | $88.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $16.89 / $17.80
| Professional | | $5.97 | $16.89 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.57 / $27.54 / $69.40
| Facility | | $12.57 | $27.54 | $69.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.58 / $20.65 / $33.45
| Professional | | $10.58 | $20.65 | $33.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.74 / $3,472.00 / $9,239.00
| Facility | | $21.74 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.14 / $26.14 / $30.75
| Professional | | $26.14 | $26.14 | $30.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.98 / $17.98 / $64.09
| Professional | | $17.98 | $17.98 | $64.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.08 / $21.90 / $40.98
| Facility | | $6.08 | $21.90 | $40.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.15 / $85.41 / $85.41
| Facility | | $32.15 | $85.41 | $85.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $10.79 / $30.36
| Professional | | $3.94 | $10.79 | $30.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.94 / $10.79 / $30.36
| Professional | | $3.94 | $10.79 | $30.36 |