- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $47.86 / $114.82
| Facility | | $22.91 | $47.86 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $11.75 / $23.44
| Professional | | $10.00 | $11.75 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.62 / $81.28
| Facility | | $12.02 | $18.62 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $13.18 / $27.54
| Professional | | $5.50 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $32.36 / $51.29
| Facility | | $25.70 | $32.36 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $16.98
| Professional | | $12.30 | $12.30 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $20.89 / $51.29
| Facility | | $10.23 | $20.89 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.22 / $22.39
| Professional | | $9.55 | $16.22 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $3,630.78 / $9,772.37
| Facility | | $19.05 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $22.39
| Professional | | $19.05 | $19.05 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $13.18 / $39.81
| Professional | | $13.18 | $13.18 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $17.38 / $131.83
| Facility | | $15.49 | $17.38 | $131.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.62 / $81.28
| Facility | | $12.02 | $18.62 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $13.18 / $27.54
| Professional | | $6.31 | $13.18 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $15.85 / $21.38
| Facility | | $11.75 | $15.85 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $13.49 / $19.95
| Professional | | $11.75 | $13.49 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $13.18 / $21.38
| Facility | | $7.59 | $13.18 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.96 / $31.62
| Professional | | $5.25 | $10.96 | $31.62 |