- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $42.66 / $128.82
| Facility | | $17.78 | $42.66 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.88 / $41.69
| Professional | | $7.94 | $12.88 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $20.89 / $162.18
| Facility | | $13.49 | $20.89 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $13.18 / $30.90
| Professional | | $6.17 | $13.18 | $30.90 |
- 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 / $13.80 / $14.45
| Professional | | $12.02 | $13.80 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $23.44 / $57.54
| Facility | | $10.23 | $23.44 | $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
- $14.79 / $14.79 / $32.36
| Professional | | $14.79 | $14.79 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $31.62 / $154.88
| Facility | | $12.02 | $31.62 | $154.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $20.89 / $162.18
| Facility | | $13.49 | $20.89 | $162.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $13.18 / $30.90
| Professional | | $7.08 | $13.18 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $14.79 / $23.99
| Facility | | $7.76 | $14.79 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.91 / $28.84
| Professional | | $5.25 | $8.91 | $28.84 |