- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.40 / $47.98 / $138.53
| Facility | | $7.40 | $47.98 | $138.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $10.00 / $17.93
| Professional | | $7.23 | $10.00 | $17.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.45 / $126.48 / $239.60
| Facility | | $51.45 | $126.48 | $239.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.98 / $26.98 / $26.98
| Professional | | $26.98 | $26.98 | $26.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.47 / $134.75 / $152.75
| Facility | | $16.47 | $134.75 | $152.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.33 / $34.33 / $34.33
| Facility | | $34.33 | $34.33 | $34.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.94 / $26.94 / $26.94
| Professional | | $26.94 | $26.94 | $26.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.79 / $180.62 / $182.69
| Facility | | $62.79 | $180.62 | $182.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.53 / $10.88 / $28.75
| Facility | | $9.53 | $10.88 | $28.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.25 / $19.25 / $19.25
| Professional | | $19.25 | $19.25 | $19.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.33 / $7.21 / $38.77
| Facility | | $5.33 | $7.21 | $38.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.53 / $12.08 / $28.75
| Facility | | $9.53 | $12.08 | $28.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.25 / $26.94 / $42.22
| Professional | | $19.25 | $26.94 | $42.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $23.28 / $30.21
| Professional | | $12.27 | $23.28 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.65 / $23.65 / $45.68
| Professional | | $23.65 | $23.65 | $45.68 |