- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.39 / $43.43 / $177.65
| Facility | | $17.39 | $43.43 | $177.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.42 / $13.95 / $14.66
| Professional | | $13.42 | $13.95 | $14.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.04 / $42.80 / $111.86
| Facility | | $14.04 | $42.80 | $111.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $15.39 / $37.49
| Professional | | $7.39 | $15.39 | $37.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.26 / $43.41 / $75.90
| Facility | | $27.26 | $43.41 | $75.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.47 / $14.47 / $19.68
| Professional | | $14.47 | $14.47 | $19.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $22.84 / $52.58
| Facility | | $10.75 | $22.84 | $52.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $17.01 / $26.21
| Professional | | $9.16 | $17.01 | $26.21 |
- 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
- $22.40 / $22.40 / $26.35
| Professional | | $22.40 | $22.40 | $26.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.39 / $21.33 / $57.28
| Professional | | $15.39 | $21.33 | $57.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.50 / $18.75 / $147.80
| Facility | | $16.50 | $18.75 | $147.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.66 / $111.86 / $111.86
| Facility | | $52.66 | $111.86 | $111.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $9.23 / $32.47
| Professional | | $6.30 | $9.23 | $32.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $9.23 / $29.33
| Professional | | $6.30 | $9.23 | $29.33 |