- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $56.62 / $69.15
| Facility | | $17.82 | $56.62 | $69.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $12.26 / $18.82
| Professional | | $11.11 | $12.26 | $18.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.74 / $2.74 / $2.74
| Professional | | $2.74 | $2.74 | $2.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.84 / $470.84 / $470.84
| Facility | | $470.84 | $470.84 | $470.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.15 / $89.79 / $8,639.91
| Facility | | $69.15 | $89.79 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $10.69 / $10.69
| Professional | | $10.69 | $10.69 | $10.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $18.25 / $45.64
| Facility | | $9.01 | $18.25 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $24.12
| Professional | | $8.53 | $15.69 | $24.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $10.97 / $18.55
| Professional | | $6.31 | $10.97 | $18.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1.00 / $26.25 / $40.97
| Facility | | $1.00 | $26.25 | $40.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $10.62 / $16.28
| Professional | | $8.23 | $10.62 | $16.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $470.84 / $470.84 / $596.52
| Facility | | $470.84 | $470.84 | $596.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.12 / $40.78 / $82.40
| Facility | | $14.12 | $40.78 | $82.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.28 / $13.71 / $56.62
| Professional | | $10.28 | $13.71 | $56.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $20.84 / $45.64
| Facility | | $9.18 | $20.84 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $24.12
| Professional | | $8.53 | $15.69 | $24.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $13.71 / $13.71
| Facility | | $13.71 | $13.71 | $13.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $13.71 / $19.53
| Professional | | $12.06 | $13.71 | $19.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $9.01 / $25.09
| Professional | | $5.76 | $9.01 | $25.09 |