- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.89 / $61.66 / $128.82
| Facility | | $20.89 | $61.66 | $128.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $64.57
| Professional | | $10.00 | $12.88 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $20.42 / $77.62
| Facility | | $13.18 | $20.42 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $14.45 / $30.20
| Professional | | $6.03 | $14.45 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $35.48 / $56.23
| Facility | | $28.18 | $35.48 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $18.62
| Professional | | $13.49 | $13.49 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $22.91 / $54.95
| Facility | | $11.22 | $22.91 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $17.38 / $24.55
| Professional | | $10.47 | $17.38 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $3,630.78 / $9,772.37
| Facility | | $16.98 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $23.99
| Professional | | $20.42 | $20.42 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $43.65
| Professional | | $14.45 | $14.45 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $18.62 / $120.23
| Facility | | $16.60 | $18.62 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $20.42 / $77.62
| Facility | | $13.18 | $20.42 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $14.45 / $30.20
| Professional | | $6.92 | $14.45 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $14.45 / $23.44
| Facility | | $8.32 | $14.45 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.02 / $34.67
| Professional | | $5.25 | $12.02 | $34.67 |