- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $37.15 / $263.03
| Facility | | $16.22 | $37.15 | $263.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $23.99 / $61.66
| Professional | | $12.02 | $23.99 | $61.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $22.39 / $199.53
| Facility | | $14.79 | $22.39 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.22 / $33.88
| Professional | | $9.55 | $16.22 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $39.81 / $57.54
| Facility | | $31.62 | $39.81 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $17.78
| Professional | | $15.14 | $15.14 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $25.70 / $61.66
| Facility | | $12.59 | $25.70 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.50 / $26.92
| Professional | | $11.75 | $19.50 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $3,630.78 / $9,772.37
| Facility | | $24.55 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $27.54
| Professional | | $23.44 | $23.44 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $41.69
| Professional | | $16.22 | $16.22 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $57.54 / $60.26
| Facility | | $38.02 | $57.54 | $60.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $22.39 / $199.53
| Facility | | $14.79 | $22.39 | $199.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.22 / $33.88
| Professional | | $9.55 | $16.22 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $16.22 / $26.30
| Facility | | $9.12 | $16.22 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $11.48 / $33.11
| Professional | | $7.94 | $11.48 | $33.11 |