- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.88 / $50.23 / $92.40
| Facility | | $14.88 | $50.23 | $92.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.51 / $16.37 / $18.37
| Professional | | $14.51 | $16.37 | $18.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.11 / $57.27 / $8,639.91
| Facility | | $44.11 | $57.27 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.33 / $14.33 / $14.33
| Professional | | $14.33 | $14.33 | $14.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $24.46 / $60.85
| Facility | | $12.07 | $24.46 | $60.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $21.06 / $32.15
| Professional | | $11.49 | $21.06 | $32.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $10.84 / $24.87
| Professional | | $8.44 | $10.84 | $24.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.23 / $43.48 / $392.22
| Facility | | $28.23 | $43.48 | $392.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $11.02 / $11.02
| Professional | | $11.02 | $11.02 | $11.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.88 / $48.13 / $81.09
| Facility | | $14.88 | $48.13 | $81.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.78 / $16.45 / $75.87
| Professional | | $13.78 | $16.45 | $75.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $27.90 / $60.85
| Facility | | $12.30 | $27.90 | $60.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $21.06 / $32.15
| Professional | | $11.49 | $21.06 | $32.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.37 / $18.37 / $18.37
| Facility | | $18.37 | $18.37 | $18.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.45 / $18.37 / $18.37
| Professional | | $12.45 | $18.37 | $18.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $11.02 / $31.23
| Professional | | $7.35 | $11.02 | $31.23 |