- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $74.13 / $208.93
| Facility | | $26.92 | $74.13 | $208.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $19.50 / $95.50
| Professional | | $15.14 | $19.50 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $30.20 / $234.42
| Facility | | $19.50 | $30.20 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $21.38 / $45.71
| Professional | | $11.48 | $21.38 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.69 / $52.48 / $83.18
| Facility | | $41.69 | $52.48 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $27.54
| Professional | | $19.95 | $19.95 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $33.88 / $83.18
| Facility | | $16.60 | $33.88 | $83.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $26.30 / $36.31
| Professional | | $15.85 | $26.30 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $3,630.78 / $9,772.37
| Facility | | $18.62 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $30.90 / $36.31
| Professional | | $30.90 | $30.90 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $64.57
| Professional | | $21.38 | $21.38 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $28.18 / $131.83
| Facility | | $25.12 | $28.18 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $30.20 / $234.42
| Facility | | $19.50 | $30.20 | $234.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $21.38 / $45.71
| Professional | | $11.48 | $21.38 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $21.38 / $34.67
| Facility | | $12.30 | $21.38 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $17.78 / $51.29
| Professional | | $10.72 | $17.78 | $51.29 |