- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.63 / $44.99 / $96.99
| Facility | | $18.63 | $44.99 | $96.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.05 / $18.63 / $34.08
| Professional | | $17.05 | $18.63 | $34.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.84 / $46.02 / $113.00
| Facility | | $17.84 | $46.02 | $113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $19.55 / $47.64
| Professional | | $11.74 | $19.55 | $47.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $52.96 / $95.95
| Facility | | $9.46 | $52.96 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.39 / $18.39 / $25.02
| Professional | | $18.39 | $18.39 | $25.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $28.52 / $66.81
| Facility | | $9.73 | $28.52 | $66.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $18.16 / $32.99
| Professional | | $5.41 | $18.16 | $32.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.37 / $3,472.00 / $9,239.00
| Facility | | $22.37 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.00 / $28.00 / $32.94
| Professional | | $28.00 | $28.00 | $32.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.55 / $27.11 / $72.80
| Professional | | $19.55 | $27.11 | $72.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.69 / $28.47 / $199.29
| Facility | | $22.69 | $28.47 | $199.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.02 / $113.00 / $113.00
| Facility | | $46.02 | $113.00 | $113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $13.11 / $41.28
| Professional | | $9.39 | $13.11 | $41.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.60 / $19.55 / $23.47
| Facility | | $17.60 | $19.55 | $23.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.39 / $16.39 / $41.28
| Professional | | $9.39 | $16.39 | $41.28 |