- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $52.48 / $134.90
| Facility | | $19.05 | $52.48 | $134.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.50 / $40.74
| Professional | | $10.00 | $19.50 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $141.25
| Facility | | $13.80 | $21.38 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $13.18 / $31.62
| Professional | | $6.31 | $13.18 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $36.31 / $52.48
| Facility | | $29.51 | $36.31 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $14.13 / $14.13
| Professional | | $12.02 | $14.13 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $23.99 / $57.54
| Facility | | $10.23 | $23.99 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $18.20 / $25.12
| Professional | | $10.23 | $18.20 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $3,630.78 / $9,772.37
| Facility | | $14.79 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $25.12
| Professional | | $21.38 | $21.38 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $32.36
| Professional | | $15.14 | $15.14 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $23.99 / $52.48
| Facility | | $12.30 | $23.99 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $141.25
| Facility | | $13.80 | $21.38 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $13.18 / $31.62
| Professional | | $7.24 | $13.18 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $15.14 / $24.55
| Facility | | $7.76 | $15.14 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.12 / $28.84
| Professional | | $5.25 | $9.12 | $28.84 |