- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.64 / $73.92 / $224.73
| Facility | | $15.64 | $73.92 | $224.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.78 / $24.10 / $40.20
| Professional | | $11.78 | $24.10 | $40.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.55 / $82.53 / $8,639.91
| Facility | | $63.55 | $82.53 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $9.40 / $9.40
| Professional | | $9.40 | $9.40 | $9.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $15.66 / $40.20
| Facility | | $11.43 | $15.66 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.71 / $14.98
| Professional | | $5.71 | $5.71 | $14.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.11 / $16.32
| Professional | | $5.54 | $7.11 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.88 / $29.95 / $50.66
| Facility | | $15.88 | $29.95 | $50.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $12.88 / $12.88
| Professional | | $7.23 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.20 / $51.29 / $208.97
| Facility | | $17.20 | $51.29 | $208.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.75 / $15.64 / $49.77
| Professional | | $9.75 | $15.64 | $49.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.65 / $15.66 / $40.20
| Facility | | $11.65 | $15.66 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $13.63 / $17.04
| Professional | | $5.71 | $13.63 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $20.23
| Facility | | $12.05 | $12.05 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.05 / $20.23
| Professional | | $10.60 | $12.05 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $11.04 / $22.08
| Professional | | $7.23 | $11.04 | $22.08 |