- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $141.25 / $870.96
| Facility | | $34.67 | $141.25 | $870.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $64.57 / $144.54
| Professional | | $15.49 | $64.57 | $144.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $25.12 / $120.23
| Facility | | $16.22 | $25.12 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $17.78 / $38.02
| Professional | | $10.72 | $17.78 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $43.65 / $69.18
| Facility | | $34.67 | $43.65 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $22.91
| Professional | | $16.98 | $16.98 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $28.18 / $69.18
| Facility | | $14.13 | $28.18 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $21.88 / $30.20
| Professional | | $12.88 | $21.88 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $3,630.78 / $9,772.37
| Facility | | $25.70 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.70 / $25.70 / $30.20
| Professional | | $25.70 | $25.70 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $54.95
| Professional | | $17.78 | $17.78 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $93.33 / $346.74
| Facility | | $23.44 | $93.33 | $346.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $25.12 / $120.23
| Facility | | $16.22 | $25.12 | $120.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $17.78 / $38.02
| Professional | | $10.72 | $17.78 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $20.42 / $29.51
| Facility | | $15.85 | $20.42 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $18.62 / $26.92
| Professional | | $15.85 | $18.62 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $17.78 / $30.20
| Facility | | $10.23 | $17.78 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $15.14 / $42.66
| Professional | | $8.91 | $15.14 | $42.66 |