- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $49.13 / $173.48
| Facility | | $16.50 | $49.13 | $173.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $15.55 / $31.10
| Professional | | $12.74 | $15.55 | $31.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $10.30 / $10.30
| Professional | | $8.58 | $10.30 | $10.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.80 / $41.39 / $293.00
| Facility | | $18.80 | $41.39 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $13.52 / $40.26
| Professional | | $8.48 | $13.52 | $40.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.44 / $87.20 / $220.62
| Facility | | $44.44 | $87.20 | $220.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.64 / $15.20 / $59.34
| Professional | | $10.64 | $15.20 | $59.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.88 / $22.52 / $57.42
| Facility | | $11.88 | $22.52 | $57.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.25 / $20.73 / $30.72
| Professional | | $11.25 | $20.73 | $30.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.25 / $17.16 / $27.46
| Professional | | $15.25 | $17.16 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.73 / $17.16 / $37.40
| Professional | | $13.73 | $17.16 | $37.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $103.00 / $103.00
| Facility | | $55.00 | $103.00 | $103.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $10.29 / $10.29
| Professional | | $10.29 | $10.29 | $10.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.23 / $20.04 / $48.87
| Facility | | $14.23 | $20.04 | $48.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $17.16 / $34.32
| Professional | | $11.36 | $17.16 | $34.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.23 / $60.23 / $60.23
| Professional | | $60.23 | $60.23 | $60.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.73 / $17.16 / $24.02
| Professional | | $13.73 | $17.16 | $24.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $10.30 / $32.96
| Professional | | $7.21 | $10.30 | $32.96 |