- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.36 / $57.57 / $125.40
| Facility | | $16.36 | $57.57 | $125.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.96 / $17.17 / $19.39
| Professional | | $15.96 | $17.17 | $19.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $101.86 / $132.27 / $8,639.91
| Facility | | $101.86 | $132.27 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.76 / $15.76 / $15.76
| Professional | | $15.76 | $15.76 | $15.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $26.90 / $67.37
| Facility | | $13.28 | $26.90 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.13 / $35.54
| Professional | | $12.74 | $23.13 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.28 / $16.16 / $27.35
| Professional | | $9.28 | $16.16 | $27.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.68 / $40.68 / $102.34
| Facility | | $40.68 | $40.68 | $102.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.17 / $57.26 / $90.14
| Facility | | $17.17 | $57.26 | $90.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.54 / $17.17 / $83.43
| Professional | | $14.54 | $17.17 | $83.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.52 / $30.69 / $67.37
| Facility | | $13.52 | $30.69 | $67.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $23.13 / $35.54
| Professional | | $12.74 | $23.13 | $35.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.20 / $20.20 / $20.20
| Facility | | $20.20 | $20.20 | $20.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $20.20 / $28.75
| Professional | | $17.78 | $20.20 | $28.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $12.52 / $35.39
| Professional | | $9.09 | $12.52 | $35.39 |