- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $83.18 / $309.03
| Facility | | $22.91 | $83.18 | $309.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $20.89 / $42.66
| Professional | | $8.91 | $20.89 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $89.13
| Facility | | $10.96 | $16.98 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.02 / $25.12
| Professional | | $5.25 | $12.02 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $29.51 / $46.77
| Facility | | $23.44 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $15.49
| Professional | | $11.22 | $11.22 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $19.05 / $46.77
| Facility | | $9.33 | $19.05 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.45 / $20.42
| Professional | | $8.71 | $14.45 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $3,630.78 / $9,772.37
| Facility | | $16.98 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $20.42
| Professional | | $17.38 | $17.38 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $36.31
| Professional | | $12.02 | $12.02 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $34.67 / $234.42
| Facility | | $15.14 | $34.67 | $234.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $89.13
| Facility | | $10.96 | $16.98 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $12.02 / $25.12
| Professional | | $5.75 | $12.02 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $14.45 / $27.54
| Facility | | $10.47 | $14.45 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $12.30 / $18.20
| Professional | | $10.47 | $12.30 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $12.02 / $19.50
| Facility | | $6.92 | $12.02 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.00 / $26.30
| Professional | | $5.25 | $10.00 | $26.30 |