- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $81.53 / $113.74
| Facility | | $16.78 | $81.53 | $113.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.99 / $17.68 / $32.28
| Professional | | $15.99 | $17.68 | $32.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $11.84 / $11.84
| Professional | | $11.84 | $11.84 | $11.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.97 / $114.24 / $8,639.91
| Facility | | $87.97 | $114.24 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.40 / $15.40 / $15.40
| Professional | | $15.40 | $15.40 | $15.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.97 / $26.28 / $65.20
| Facility | | $12.97 | $26.28 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $22.72 / $34.70
| Professional | | $12.43 | $22.72 | $34.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $11.65 / $26.73
| Professional | | $9.08 | $11.65 | $26.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $17.00 / $17.00
| Professional | | $11.84 | $17.00 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $58.73 / $143.30
| Facility | | $16.78 | $58.73 | $143.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.28 / $17.68 / $81.53
| Professional | | $15.28 | $17.68 | $81.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.21 / $29.98 / $65.20
| Facility | | $13.21 | $29.98 | $65.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.43 / $22.72 / $34.70
| Professional | | $12.43 | $22.72 | $34.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.73 / $19.73 / $19.73
| Facility | | $19.73 | $19.73 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.37 / $19.73 / $24.82
| Professional | | $17.37 | $19.73 | $24.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $11.84 / $33.56
| Professional | | $8.88 | $11.84 | $33.56 |