- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $58.98 / $75.81
| Facility | | $13.65 | $58.98 | $75.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.31 / $14.69 / $17.39
| Professional | | $13.31 | $14.69 | $17.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $71.84 / $93.29 / $8,639.91
| Facility | | $71.84 | $93.29 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $13.14 / $13.14
| Professional | | $13.14 | $13.14 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.28 / $22.43 / $49.28
| Facility | | $11.28 | $22.43 | $49.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $19.41 / $25.32
| Professional | | $9.01 | $19.41 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $9.94 / $22.81
| Professional | | $7.75 | $9.94 | $22.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.86 / $44.86 / $47.48
| Facility | | $44.86 | $44.86 | $47.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.11 / $10.11
| Professional | | $10.11 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $45.82 / $73.70
| Facility | | $13.65 | $45.82 | $73.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.13 / $15.50 / $69.59
| Professional | | $12.13 | $15.50 | $69.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $27.22 / $55.42
| Facility | | $11.77 | $27.22 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $19.13 / $24.54
| Professional | | $9.01 | $19.13 | $24.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $22.88
| Facility | | $16.85 | $16.85 | $22.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.83 / $16.85 / $22.88
| Professional | | $14.83 | $16.85 | $22.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.11 / $29.32
| Professional | | $7.08 | $10.11 | $29.32 |