- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $50.12 / $151.36
| Facility | | $23.44 | $50.12 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $15.85 / $75.86
| Professional | | $12.02 | $15.85 | $75.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $23.99 / $102.33
| Facility | | $15.49 | $23.99 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $16.98 / $35.48
| Professional | | $7.24 | $16.98 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.88 / $42.66 / $67.61
| Facility | | $33.88 | $42.66 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $21.38
| Professional | | $16.22 | $16.22 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $27.54 / $66.07
| Facility | | $13.49 | $27.54 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $20.89 / $28.84
| Professional | | $12.59 | $20.89 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $3,630.78 / $9,772.37
| Facility | | $24.55 | $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 / $51.29
| Professional | | $16.98 | $16.98 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $21.88 / $53.70
| Facility | | $18.20 | $21.88 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $23.99 / $102.33
| Facility | | $15.49 | $23.99 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $16.98 / $35.48
| Professional | | $8.32 | $16.98 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $16.98 / $28.18
| Facility | | $9.77 | $16.98 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $14.13 / $40.74
| Professional | | $5.25 | $14.13 | $40.74 |