- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.10 / $59.87 / $94.40
| Facility | | $14.10 | $59.87 | $94.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $13.05 / $15.08
| Professional | | $11.67 | $13.05 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $9.05 / $9.05
| Professional | | $9.05 | $9.05 | $9.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.02 / $98.72 / $8,639.91
| Facility | | $76.02 | $98.72 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $11.76 / $11.76
| Professional | | $11.76 | $11.76 | $11.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $20.07 / $49.98
| Facility | | $9.91 | $20.07 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.23
| Professional | | $9.47 | $17.35 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $11.47 / $20.42
| Professional | | $6.94 | $11.47 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.86 / $41.52 / $102.21
| Facility | | $20.86 | $41.52 | $102.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.05 / $14.50 / $14.50
| Professional | | $9.05 | $14.50 | $14.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.10 / $47.54 / $100.00
| Facility | | $14.10 | $47.54 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $13.05 / $62.28
| Professional | | $10.56 | $13.05 | $62.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.71 / $56.53 / $78.64
| Facility | | $54.71 | $56.53 | $78.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $22.90 / $49.98
| Facility | | $10.09 | $22.90 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.23
| Professional | | $9.47 | $17.35 | $26.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $15.08 / $15.08
| Facility | | $15.08 | $15.08 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.27 / $15.08 / $21.45
| Professional | | $13.27 | $15.08 | $21.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $9.65 / $28.65
| Professional | | $6.79 | $9.65 | $28.65 |