- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $61.66 / $223.87
| Facility | | $26.92 | $61.66 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $25.12 / $89.13
| Professional | | $18.20 | $25.12 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $93.33
| Facility | | $19.95 | $30.90 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $29.51 / $363.08
| Professional | | $16.22 | $29.51 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.66 / $53.70 / $81.28
| Facility | | $42.66 | $53.70 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.55 / $25.12 / $26.30
| Professional | | $24.55 | $25.12 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $37.15 / $74.13
| Facility | | $18.20 | $37.15 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $25.70 / $69.18
| Professional | | $14.45 | $25.70 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.54 / $3,630.78 / $9,772.37
| Facility | | $27.54 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.90 / $38.90 / $45.71
| Professional | | $38.90 | $38.90 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.91 / $39.81 / $67.61
| Professional | | $22.91 | $39.81 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $30.90 / $93.33
| Facility | | $19.95 | $30.90 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $29.51 / $363.08
| Professional | | $16.22 | $29.51 | $363.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $26.92 / $31.62
| Facility | | $15.85 | $26.92 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $26.92 / $67.61
| Professional | | $15.85 | $26.92 | $67.61 |