- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.00 / $42.60 / $76.34
| Facility | | $17.00 | $42.60 | $76.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.02 / $24.99 / $43.43
| Professional | | $14.02 | $24.99 | $43.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.81 / $47.31 / $92.53
| Facility | | $27.81 | $47.31 | $92.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.23 / $30.98 / $119.22
| Professional | | $17.23 | $30.98 | $119.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.53 / $27.67 / $49.39
| Facility | | $21.53 | $27.67 | $49.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.57 / $28.44 / $54.44
| Facility | | $13.57 | $28.44 | $54.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $19.05 / $57.29
| Professional | | $10.11 | $19.05 | $57.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.04 / $56.98 / $6,679.00
| Facility | | $22.04 | $56.98 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.77 / $32.65 / $49.69
| Professional | | $26.77 | $32.65 | $49.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.94 / $46.20 / $68.89
| Professional | | $22.94 | $46.20 | $68.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.65 / $28.50 / $53.05
| Facility | | $25.65 | $28.50 | $53.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.06 / $49.05 / $161.41
| Professional | | $40.06 | $49.05 | $161.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $92.53 / $92.53 / $92.53
| Facility | | $92.53 | $92.53 | $92.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.97 / $51.35 / $218.88
| Professional | | $22.97 | $51.35 | $218.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.68 / $30.98 / $65.79
| Professional | | $14.68 | $30.98 | $65.79 |