- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $42.47 / $91.48
| Facility | | $15.05 | $42.47 | $91.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.94 / $13.14 / $19.57
| Professional | | $12.94 | $13.14 | $19.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $31.86 / $75.65
| Facility | | $13.74 | $31.86 | $75.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $15.05 / $36.65
| Professional | | $7.22 | $15.05 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $42.60 / $74.48
| Facility | | $26.75 | $42.60 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.15 / $14.15 / $18.85
| Professional | | $14.15 | $14.15 | $18.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $22.34 / $51.47
| Facility | | $10.52 | $22.34 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $16.30 / $25.31
| Professional | | $8.94 | $16.30 | $25.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.94 / $21.94 / $25.81
| Professional | | $21.94 | $21.94 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.05 / $20.86 / $56.05
| Professional | | $15.05 | $20.86 | $56.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.09 / $19.20 / $130.32
| Facility | | $16.09 | $19.20 | $130.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.86 / $75.65 / $75.65
| Facility | | $31.86 | $75.65 | $75.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.02 / $31.11
| Professional | | $5.25 | $9.02 | $31.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.02 / $12.35 / $31.64
| Professional | | $6.02 | $12.35 | $31.64 |