- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.30 / $43.92 / $99.84
| Facility | | $18.30 | $43.92 | $99.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $13.06 / $16.42
| Professional | | $9.36 | $13.06 | $16.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $25.07 / $72.25
| Facility | | $13.14 | $25.07 | $72.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $14.41 / $35.10
| Professional | | $6.92 | $14.41 | $35.10 |
- 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
- $13.55 / $13.55 / $18.42
| Professional | | $13.55 | $13.55 | $18.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $21.40 / $49.21
| Facility | | $10.07 | $21.40 | $49.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $15.92 / $24.41
| Professional | | $8.74 | $15.92 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.31 / $3,472.00 / $9,239.00
| Facility | | $46.31 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.41 / $19.97 / $53.63
| Professional | | $14.41 | $19.97 | $53.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.17 / $18.77 / $84.09
| Facility | | $15.17 | $18.77 | $84.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.07 / $72.25 / $72.25
| Facility | | $25.07 | $72.25 | $72.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.65 / $30.41
| Professional | | $5.25 | $8.65 | $30.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.65 / $30.41
| Professional | | $5.25 | $8.65 | $30.41 |