- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $52.48 / $85.11
| Facility | | $19.05 | $52.48 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $19.95 / $66.07
| Professional | | $14.13 | $19.95 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $75.86
| Facility | | $18.20 | $28.18 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $22.91 / $181.97
| Professional | | $13.18 | $22.91 | $181.97 |
- 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
- $20.42 / $20.42 / $20.42
| Professional | | $20.42 | $20.42 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $34.67 / $77.62
| Facility | | $16.98 | $34.67 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $23.44 / $56.23
| Professional | | $13.18 | $23.44 | $56.23 |
- 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
- $31.62 / $31.62 / $37.15
| Professional | | $31.62 | $31.62 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.88 / $21.88 / $46.77
| Professional | | $21.88 | $21.88 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $28.18 / $75.86
| Facility | | $18.20 | $28.18 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $22.91 / $181.97
| Professional | | $13.18 | $22.91 | $181.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $21.88 / $33.11
| Facility | | $16.98 | $21.88 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $21.88 / $43.65
| Professional | | $13.18 | $21.88 | $43.65 |