- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.29 / $48.66 / $187.85
| Facility | | $20.29 | $48.66 | $187.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.46 / $10.91 / $22.06
| Professional | | $10.46 | $10.91 | $22.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $32.31 / $76.33
| Facility | | $11.87 | $32.31 | $76.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $16.07 / $35.56
| Professional | | $9.61 | $16.07 | $35.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.18 / $36.86 / $64.45
| Facility | | $22.18 | $36.86 | $64.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $19.64 / $40.99
| Facility | | $11.23 | $19.64 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $12.67 / $24.26
| Professional | | $8.67 | $12.67 | $24.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.12 / $53.00 / $8,090.00
| Facility | | $19.12 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.39 / $21.17 / $27.46
| Professional | | $16.39 | $21.17 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $22.27 / $51.75
| Professional | | $16.07 | $22.27 | $51.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $19.98 / $73.81
| Facility | | $14.92 | $19.98 | $73.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $76.33 / $76.33
| Facility | | $32.31 | $76.33 | $76.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.64 / $24.18
| Professional | | $6.43 | $9.64 | $24.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.64 / $24.18
| Professional | | $6.43 | $9.64 | $24.18 |