- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $53.70 / $131.83
| Facility | | $22.91 | $53.70 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $15.14 / $45.71
| Professional | | $12.02 | $15.14 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $23.99 / $89.13
| Facility | | $15.49 | $23.99 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $16.98 / $35.48
| Professional | | $7.08 | $16.98 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.11 / $41.69 / $60.26
| Facility | | $33.11 | $41.69 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $15.85 / $18.20
| Professional | | $15.85 | $15.85 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $26.92 / $64.57
| Facility | | $13.18 | $26.92 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $20.42 / $28.18
| Professional | | $12.30 | $20.42 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $3,630.78 / $9,772.37
| Facility | | $20.42 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $28.84
| Professional | | $24.55 | $24.55 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $43.65
| Professional | | $16.98 | $16.98 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $20.42 / $87.10
| Facility | | $18.62 | $20.42 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $23.99 / $89.13
| Facility | | $15.49 | $23.99 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $16.98 / $35.48
| Professional | | $8.13 | $16.98 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $16.98 / $27.54
| Facility | | $9.55 | $16.98 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.02 / $33.88
| Professional | | $5.25 | $12.02 | $33.88 |