- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.21 / $87.78 / $635.46
| Facility | | $18.21 | $87.78 | $635.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.00 / $17.35 / $54.08
| Professional | | $14.00 | $17.35 | $54.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.79 / $81.00 / $8,459.92
| Facility | | $60.79 | $81.00 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.71 / $16.71 / $16.71
| Professional | | $16.71 | $16.71 | $16.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $32.52 / $70.63
| Facility | | $20.32 | $32.52 | $70.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.61 / $20.46 / $48.14
| Professional | | $12.61 | $20.46 | $48.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $28.92 / $40.70
| Professional | | $12.74 | $28.92 | $40.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.28 / $51.20 / $105.18
| Facility | | $30.28 | $51.20 | $105.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $12.85 / $12.85
| Professional | | $12.85 | $12.85 | $12.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.81 / $87.78 / $425.63
| Facility | | $24.81 | $87.78 | $425.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.42 / $25.62 / $88.46
| Professional | | $15.42 | $25.62 | $88.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4,122.12 / $4,259.52 / $5,549.44
| Facility | | $4,122.12 | $4,259.52 | $5,549.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.39 / $30.10 / $98.40
| Professional | | $20.39 | $30.10 | $98.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.78 / $35.63 / $70.63
| Facility | | $20.78 | $35.63 | $70.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.47 / $22.80 / $48.14
| Professional | | $13.47 | $22.80 | $48.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.42 / $21.42 / $21.42
| Facility | | $21.42 | $21.42 | $21.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.16 / $21.42 / $21.42
| Professional | | $17.16 | $21.42 | $21.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.78 / $21.42 / $38.59
| Professional | | $11.78 | $21.42 | $38.59 |