- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.09 / $49.53 / $290.83
| Facility | | $10.09 | $49.53 | $290.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $11.84 / $18.05
| Professional | | $7.97 | $11.84 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $7.97 / $9.22
| Professional | | $6.37 | $7.97 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.47 / $43.82 / $79.95
| Facility | | $16.47 | $43.82 | $79.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.04 / $11.82
| Professional | | $5.00 | $7.04 | $11.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $20.58 / $81.44
| Facility | | $13.28 | $20.58 | $81.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $13.28 / $13.28
| Facility | | $13.28 | $13.28 | $13.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $29.17 / $67.43
| Facility | | $9.27 | $29.17 | $67.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $9.75 / $22.43
| Professional | | $7.04 | $9.75 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.40 / $65.36 / $65.36
| Facility | | $51.40 | $65.36 | $65.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $13.28 / $19.80
| Facility | | $10.62 | $13.28 | $19.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $13.28 / $17.30
| Professional | | $11.95 | $13.28 | $17.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $13.28 / $33.25
| Facility | | $10.62 | $13.28 | $33.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $10.23 / $19.18
| Professional | | $7.04 | $10.23 | $19.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $7.67 / $10.99
| Professional | | $5.58 | $7.67 | $10.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.18 / $6.56 / $13.28
| Professional | | $5.18 | $6.56 | $13.28 |