- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.99 / $45.17 / $144.78
| Facility | | $15.99 | $45.17 | $144.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $11.48 / $23.20
| Professional | | $9.23 | $11.48 | $23.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $22.41 / $175.95
| Facility | | $11.75 | $22.41 | $175.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $12.88 / $28.89
| Professional | | $6.18 | $12.88 | $28.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $36.04 / $63.00
| Facility | | $17.05 | $36.04 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.91 / $12.11 / $12.75
| Professional | | $11.91 | $12.11 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $19.14 / $44.01
| Facility | | $9.00 | $19.14 | $44.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $11.85 / $21.69
| Professional | | $7.70 | $11.85 | $21.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.89 / $3,472.00 / $9,239.00
| Facility | | $32.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $17.85 / $45.94
| Professional | | $12.88 | $17.85 | $45.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.13 / $15.16 / $167.43
| Facility | | $12.13 | $15.16 | $167.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.41 / $175.95 / $175.95
| Facility | | $22.41 | $175.95 | $175.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.73 / $21.60
| Professional | | $5.25 | $7.73 | $21.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.73 / $21.60
| Professional | | $5.25 | $7.73 | $21.60 |