- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $45.71 / $281.84
| Facility | | $21.38 | $45.71 | $281.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $69.18
| Professional | | $10.96 | $15.14 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $21.88 / $102.33
| Facility | | $14.13 | $21.88 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $15.49 / $37.15
| Professional | | $11.48 | $15.49 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.20 / $38.02 / $60.26
| Facility | | $30.20 | $38.02 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $19.95
| Professional | | $14.45 | $14.45 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $24.55 / $60.26
| Facility | | $12.02 | $24.55 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $19.05 / $51.29
| Professional | | $11.48 | $19.05 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $3,630.78 / $9,772.37
| Facility | | $22.91 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.39 / $22.39 / $26.30
| Professional | | $22.39 | $22.39 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $46.77
| Professional | | $15.49 | $15.49 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $19.05 / $218.78
| Facility | | $16.98 | $19.05 | $218.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $21.88 / $102.33
| Facility | | $14.13 | $21.88 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $15.49 / $37.15
| Professional | | $11.48 | $15.49 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $15.49 / $25.12
| Facility | | $8.91 | $15.49 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.49 / $39.81
| Professional | | $9.33 | $15.49 | $39.81 |