- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.76 / $34.15 / $155.83
| Facility | | $9.76 | $34.15 | $155.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $10.24 / $29.43
| Professional | | $7.91 | $10.24 | $29.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.62 / $54.04 / $8,639.91
| Facility | | $41.62 | $54.04 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.43 / $29.43 / $29.43
| Professional | | $29.43 | $29.43 | $29.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.92 / $46.36 / $109.59
| Facility | | $7.92 | $46.36 | $109.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $17.73 / $47.36
| Professional | | $17.73 | $17.73 | $47.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $22.26 / $51.09
| Professional | | $7.30 | $22.26 | $51.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.71 / $63.92 / $192.12
| Facility | | $14.71 | $63.92 | $192.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.41 / $32.99 / $155.83
| Facility | | $13.41 | $32.99 | $155.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $10.50 / $155.83
| Professional | | $9.52 | $10.50 | $155.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $46.36 / $124.96
| Facility | | $7.88 | $46.36 | $124.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $42.46 / $54.21
| Professional | | $17.73 | $42.46 | $54.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $37.72 / $37.72
| Facility | | $13.26 | $37.72 | $37.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $37.72 / $37.72
| Professional | | $13.26 | $37.72 | $37.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Facility | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.47 / $37.72
| Professional | | $5.05 | $7.47 | $37.72 |