- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.66 / $37.02 / $87.55
| Facility | | $16.66 | $37.02 | $87.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.43 / $11.84 / $18.01
| Professional | | $11.43 | $11.84 | $18.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $34.52 / $128.35
| Facility | | $11.97 | $34.52 | $128.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $13.12 / $31.96
| Professional | | $6.30 | $13.12 | $31.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $36.86 / $64.45
| Facility | | $23.15 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.33 / $12.33 / $16.79
| Professional | | $12.33 | $12.33 | $16.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.17 / $19.50 / $44.82
| Facility | | $9.17 | $19.50 | $44.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $14.50 / $22.15
| Professional | | $7.91 | $14.50 | $22.15 |
- 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
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.12 / $18.18 / $48.84
| Professional | | $13.12 | $18.18 | $48.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.45 / $17.10 / $56.16
| Facility | | $15.45 | $17.10 | $56.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.52 / $128.35 / $128.35
| Facility | | $34.52 | $128.35 | $128.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.87 / $27.69
| Professional | | $5.25 | $7.87 | $27.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $15.68 / $21.52
| Facility | | $13.12 | $15.68 | $21.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.87 / $27.69
| Professional | | $5.25 | $7.87 | $27.69 |