- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $85.11 / $213.80
| Facility | | $21.88 | $85.11 | $213.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $33.88 / $51.29
| Professional | | $19.05 | $33.88 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $51.29 / $181.97
| Facility | | $34.67 | $51.29 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $34.67 / $79.43
| Professional | | $15.85 | $34.67 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $74.13 / $93.33 / $131.83
| Facility | | $74.13 | $93.33 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $35.48 / $37.15
| Professional | | $14.79 | $35.48 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $60.26 / $144.54
| Facility | | $29.51 | $60.26 | $144.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.54 / $45.71 / $66.07
| Professional | | $27.54 | $45.71 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $3,630.78 / $9,772.37
| Facility | | $16.98 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $54.95 / $64.57
| Professional | | $54.95 | $54.95 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $38.02 / $81.28
| Professional | | $38.02 | $38.02 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $47.86 / $181.97
| Facility | | $14.79 | $47.86 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.67 / $51.29 / $181.97
| Facility | | $34.67 | $51.29 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $34.67 / $79.43
| Professional | | $18.20 | $34.67 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $38.02 / $61.66
| Facility | | $19.05 | $38.02 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $22.39 / $63.10
| Professional | | $9.55 | $22.39 | $63.10 |