- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.38 / $36.45 / $59.71
| Facility | | $13.38 | $36.45 | $59.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.77 / $13.38 / $16.01
| Professional | | $11.77 | $13.38 | $16.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.81 / $34.52 / $120.35
| Facility | | $12.81 | $34.52 | $120.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.43 / $14.05 / $34.22
| Professional | | $8.43 | $14.05 | $34.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.70 / $39.33 / $68.75
| Facility | | $24.70 | $39.33 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.21 / $13.21 / $17.96
| Professional | | $13.21 | $13.21 | $17.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.81 / $20.84 / $47.99
| Facility | | $9.81 | $20.84 | $47.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $15.52 / $23.95
| Professional | | $8.52 | $15.52 | $23.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $23.62
| Professional | | $20.07 | $20.07 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.05 / $19.47 / $52.29
| Professional | | $14.05 | $19.47 | $52.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.52 / $120.35 / $120.35
| Facility | | $34.52 | $120.35 | $120.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $9.42 / $29.66
| Professional | | $6.74 | $9.42 | $29.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.65 / $14.05 / $16.86
| Facility | | $12.65 | $14.05 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $10.50 / $29.66
| Professional | | $5.90 | $10.50 | $29.66 |