- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.68 / $33.76 / $210.20
| Facility | | $12.68 | $33.76 | $210.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $11.44 / $12.09
| Professional | | $9.09 | $11.44 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $22.06 / $86.53
| Facility | | $11.57 | $22.06 | $86.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $12.68 / $30.89
| Professional | | $6.09 | $12.68 | $30.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.12 / $35.22 / $61.58
| Facility | | $22.12 | $35.22 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $11.92 / $16.23
| Professional | | $11.92 | $11.92 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $18.89 / $43.36
| Facility | | $8.86 | $18.89 | $43.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $14.04 / $21.69
| Professional | | $7.70 | $14.04 | $21.69 |
- 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
- $18.20 / $18.20 / $21.41
| Professional | | $18.20 | $18.20 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.68 / $17.57 / $47.20
| Professional | | $12.68 | $17.57 | $47.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.37 / $16.53 / $49.59
| Facility | | $13.37 | $16.53 | $49.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.06 / $86.53 / $86.53
| Facility | | $22.06 | $86.53 | $86.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.61 / $26.79
| Professional | | $5.25 | $7.61 | $26.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.61 / $26.79
| Professional | | $5.25 | $7.61 | $26.79 |