- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $97.72 / $776.25
| Facility | | $21.38 | $97.72 | $776.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $28.84 / $120.23
| Professional | | $10.00 | $28.84 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $28.18 / $89.13
| Facility | | $17.38 | $28.18 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $17.78 / $89.13
| Professional | | $11.48 | $17.78 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $30.20 / $39.81
| Facility | | $26.30 | $30.20 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $22.39 / $34.67
| Professional | | $15.14 | $22.39 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $16.22 / $33.88
| Professional | | $11.75 | $16.22 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $56.23 / $8,511.38
| Facility | | $15.49 | $56.23 | $8,511.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $14.13 / $25.70
| Professional | | $7.41 | $14.13 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.20 / $33.11
| Professional | | $13.18 | $18.20 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $70.79 / $1,202.26
| Facility | | $22.39 | $70.79 | $1,202.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $19.95
| Professional | | $19.95 | $19.95 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $28.18 / $89.13
| Facility | | $17.38 | $28.18 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $17.78 / $89.13
| Professional | | $11.48 | $17.78 | $89.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $10.72
| Facility | | $10.72 | $10.72 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $17.78 / $34.67
| Professional | | $12.30 | $17.78 | $34.67 |