- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $44.67 / $109.65
| Facility | | $18.62 | $44.67 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $18.20 / $87.10
| Professional | | $14.13 | $18.20 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $27.54 / $112.20
| Facility | | $17.78 | $27.54 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.50 / $41.69
| Professional | | $11.75 | $19.50 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $47.86 / $69.18
| Facility | | $38.02 | $47.86 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $25.12
| Professional | | $18.20 | $18.20 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $30.90 / $75.86
| Facility | | $9.77 | $30.90 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $23.99 / $33.11
| Professional | | $12.02 | $23.99 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $3,630.78 / $9,772.37
| Facility | | $7.08 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $28.18 / $33.11
| Professional | | $28.18 | $28.18 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.50 / $19.50 / $58.88
| Professional | | $19.50 | $19.50 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $28.18 / $48.98
| Facility | | $22.91 | $28.18 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $27.54 / $112.20
| Facility | | $17.78 | $27.54 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.50 / $41.69
| Professional | | $11.75 | $19.50 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $19.50 / $31.62
| Facility | | $11.22 | $19.50 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.98 / $46.77
| Professional | | $9.77 | $16.98 | $46.77 |