- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $52.48 / $117.49
| Facility | | $22.91 | $52.48 | $117.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $20.89 / $56.23
| Professional | | $15.14 | $20.89 | $56.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $77.62
| Facility | | $18.20 | $28.18 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $23.99 / $177.83
| Professional | | $13.80 | $23.99 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $48.98 / $79.43
| Facility | | $39.81 | $48.98 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $22.39
| Professional | | $21.38 | $21.38 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $34.67 / $77.62
| Facility | | $17.78 | $34.67 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $26.92 / $58.88
| Professional | | $13.49 | $26.92 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $3,630.78 / $9,772.37
| Facility | | $36.31 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $32.36 / $38.02
| Professional | | $32.36 | $32.36 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $22.91 / $47.86
| Professional | | $22.91 | $22.91 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $77.62
| Facility | | $18.20 | $28.18 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $23.99 / $177.83
| Professional | | $13.80 | $23.99 | $177.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $22.91 / $33.11
| Facility | | $16.98 | $22.91 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $22.91 / $45.71
| Professional | | $13.80 | $22.91 | $45.71 |