- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.41 / $76.27 / $172.27
| Facility | | $21.41 | $76.27 | $172.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.66 / $19.27 / $20.39
| Professional | | $18.66 | $19.27 | $20.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.53 / $45.58 / $235.62
| Facility | | $19.53 | $45.58 | $235.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $21.41 / $52.15
| Professional | | $11.55 | $21.41 | $52.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.54 / $59.80 / $104.55
| Facility | | $37.54 | $59.80 | $104.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.13 / $20.13 / $27.38
| Professional | | $20.13 | $20.13 | $27.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $31.82 / $73.15
| Facility | | $14.96 | $31.82 | $73.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $23.67 / $36.15
| Professional | | $12.91 | $23.67 | $36.15 |
- 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
- $30.80 / $30.80 / $36.24
| Professional | | $30.80 | $30.80 | $36.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.41 / $29.67 / $79.70
| Professional | | $21.41 | $29.67 | $79.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.61 / $27.90 / $127.26
| Facility | | $24.61 | $27.90 | $127.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.58 / $235.62 / $235.62
| Facility | | $45.58 | $235.62 | $235.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $12.85 / $45.20
| Professional | | $10.28 | $12.85 | $45.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $12.85 / $40.81
| Professional | | $10.28 | $12.85 | $40.81 |