- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $43.99 / $201.92
| Facility | | $12.93 | $43.99 | $201.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $8.86 / $9.30
| Professional | | $7.29 | $8.86 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $28.32 / $71.83
| Facility | | $9.27 | $28.32 | $71.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $10.18 / $24.80
| Professional | | $6.11 | $10.18 | $24.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $28.67 / $50.13
| Facility | | $18.00 | $28.67 | $50.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $9.57 / $12.49
| Professional | | $9.57 | $9.57 | $12.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $15.11 / $34.76
| Facility | | $7.11 | $15.11 | $34.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $10.79 / $17.17
| Professional | | $6.04 | $10.79 | $17.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.60 / $3,472.00 / $9,239.00
| Facility | | $44.60 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.47 / $14.47 / $17.02
| Professional | | $14.47 | $14.47 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $14.11 / $37.36
| Professional | | $10.18 | $14.11 | $37.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.99 / $25.54 / $237.37
| Facility | | $11.99 | $25.54 | $237.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $71.83 / $71.83
| Facility | | $32.31 | $71.83 | $71.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.83 / $20.61
| Professional | | $4.88 | $6.83 | $20.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $8.18 / $20.61
| Professional | | $5.05 | $8.18 | $20.61 |