- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.21 / $41.01 / $63.05
| Facility | | $12.21 | $41.01 | $63.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.21 / $13.14 / $27.34
| Professional | | $12.21 | $13.14 | $27.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.02 / $98.72 / $8,639.91
| Facility | | $76.02 | $98.72 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $11.76 / $11.76
| Professional | | $11.76 | $11.76 | $11.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $20.07 / $49.98
| Facility | | $9.91 | $20.07 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.23
| Professional | | $9.47 | $17.35 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $10.61 / $20.42
| Professional | | $6.94 | $10.61 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.13 / $29.01 / $50.87
| Facility | | $6.13 | $29.01 | $50.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.21 / $38.46 / $63.05
| Facility | | $12.21 | $38.46 | $63.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.86 / $13.15 / $62.28
| Professional | | $10.86 | $13.15 | $62.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $22.90 / $49.98
| Facility | | $10.09 | $22.90 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.23
| Professional | | $9.47 | $17.35 | $26.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $15.08 / $15.08
| Facility | | $15.08 | $15.08 | $15.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.27 / $15.08 / $21.45
| Professional | | $13.27 | $15.08 | $21.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $9.35 / $27.60
| Professional | | $6.79 | $9.35 | $27.60 |