- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.17 / $41.25 / $73.16
| Facility | | $14.17 | $41.25 | $73.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $14.17 / $72.23
| Professional | | $8.57 | $14.17 | $72.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.49 / $10.49 / $10.49
| Professional | | $10.49 | $10.49 | $10.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.25 / $62.65 / $8,639.91
| Facility | | $48.25 | $62.65 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.64 / $13.64 / $13.64
| Professional | | $13.64 | $13.64 | $13.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.37 / $22.73 / $51.17
| Facility | | $11.37 | $22.73 | $51.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $16.93 / $25.35
| Professional | | $6.06 | $16.93 | $25.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.90 / $10.32 / $23.68
| Professional | | $7.90 | $10.32 | $23.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.20 / $23.20 / $96.80
| Facility | | $23.20 | $23.20 | $96.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.36 / $41.25 / $72.23
| Facility | | $16.36 | $41.25 | $72.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $14.34 / $72.23
| Professional | | $11.02 | $14.34 | $72.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.37 / $22.74 / $57.59
| Facility | | $11.37 | $22.74 | $57.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $16.93 / $25.30
| Professional | | $6.06 | $16.93 | $25.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $17.48 / $17.48
| Facility | | $17.48 | $17.48 | $17.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.62 / $17.48 / $17.48
| Professional | | $13.62 | $17.48 | $17.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $10.49 / $27.08
| Professional | | $6.29 | $10.49 | $27.08 |