- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $46.38 / $85.57
| Facility | | $16.80 | $46.38 | $85.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $51.78
| Professional | | $16.80 | $16.80 | $51.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $41.86 / $114.29
| Facility | | $17.78 | $41.86 | $114.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $24.06 / $54.76
| Professional | | $14.44 | $24.06 | $54.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.13 / $54.88 / $95.95
| Facility | | $34.13 | $54.88 | $95.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.57 / $22.62 / $23.82
| Professional | | $22.57 | $22.62 | $23.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $29.40 / $60.27
| Facility | | $16.73 | $29.40 | $60.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $19.50 / $36.65
| Professional | | $12.83 | $19.50 | $36.65 |
- 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
- $34.54 / $34.54 / $40.64
| Professional | | $34.54 | $34.54 | $40.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.06 / $33.35 / $77.47
| Professional | | $24.06 | $33.35 | $77.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.86 / $114.29 / $114.29
| Facility | | $41.86 | $114.29 | $114.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $14.44 / $37.25
| Professional | | $9.61 | $14.44 | $37.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $25.41 / $34.85
| Facility | | $18.20 | $25.41 | $34.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $14.79 / $42.05
| Professional | | $10.11 | $14.79 | $42.05 |