- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $38.90 / $91.20
| Facility | | $15.14 | $38.90 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.13 / $87.10
| Professional | | $10.00 | $14.13 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $75.86
| Facility | | $13.80 | $21.38 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $15.14 / $31.62
| Professional | | $6.31 | $15.14 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $37.15 / $58.88
| Facility | | $29.51 | $37.15 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $19.05
| Professional | | $14.13 | $14.13 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $23.99 / $57.54
| Facility | | $11.75 | $23.99 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $25.12
| Professional | | $10.96 | $18.20 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $3,630.78 / $9,772.37
| Facility | | $21.38 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $25.70
| Professional | | $21.88 | $21.88 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $44.67
| Professional | | $15.14 | $15.14 | $44.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $19.50 / $131.83
| Facility | | $15.85 | $19.50 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $75.86
| Facility | | $13.80 | $21.38 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $15.14 / $31.62
| Professional | | $7.24 | $15.14 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $15.14 / $24.55
| Facility | | $8.71 | $15.14 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.30 / $35.48
| Professional | | $5.25 | $12.30 | $35.48 |