- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.97 / $62.29 / $129.71
| Facility | | $24.97 | $62.29 | $129.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $13.05 / $14.39
| Professional | | $12.56 | $13.05 | $14.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $27.44 / $77.77
| Facility | | $13.13 | $27.44 | $77.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $14.39 / $35.04
| Professional | | $6.91 | $14.39 | $35.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $40.14 / $70.18
| Facility | | $25.21 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $18.41
| Professional | | $13.53 | $13.53 | $18.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $21.37 / $49.18
| Facility | | $10.06 | $21.37 | $49.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $15.91 / $24.41
| Professional | | $8.74 | $15.91 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.39 / $19.94 / $53.57
| Professional | | $14.39 | $19.94 | $53.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.69 / $18.75 / $119.13
| Facility | | $16.69 | $18.75 | $119.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.44 / $77.77 / $77.77
| Facility | | $27.44 | $77.77 | $77.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.63 / $30.38
| Professional | | $5.25 | $8.63 | $30.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.63 / $27.43
| Professional | | $5.25 | $8.63 | $27.43 |