- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.93 / $73.61 / $113.24
| Facility | | $21.93 | $73.61 | $113.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $21.93 / $25.99
| Professional | | $7.71 | $21.93 | $25.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.42 / $56.38 / $8,639.91
| Facility | | $43.42 | $56.38 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.11 / $21.11 / $21.11
| Professional | | $21.11 | $21.11 | $21.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $35.18 / $78.66
| Facility | | $17.60 | $35.18 | $78.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $22.75 / $39.24
| Professional | | $5.44 | $22.75 | $39.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.73 / $15.97 / $36.65
| Professional | | $9.73 | $15.97 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.90 / $75.90 / $75.90
| Facility | | $75.90 | $75.90 | $75.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.93 / $69.03 / $111.80
| Facility | | $21.93 | $69.03 | $111.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $21.93 / $111.80
| Professional | | $10.30 | $21.93 | $111.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.08 / $35.20 / $90.19
| Facility | | $13.08 | $35.20 | $90.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $26.12 / $39.24
| Professional | | $5.44 | $26.12 | $39.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.07 / $27.07 / $27.07
| Facility | | $27.07 | $27.07 | $27.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $27.07 / $27.07
| Professional | | $12.26 | $27.07 | $27.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.36 / $32.47 / $32.47
| Facility | | $24.36 | $32.47 | $32.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $16.23 / $47.10
| Professional | | $5.28 | $16.23 | $47.10 |