- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.50 / $54.46 / $60.93
| Facility | | $11.50 | $54.46 | $60.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $12.09 / $13.54
| Professional | | $8.74 | $12.09 | $13.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $8.11 / $8.11
| Professional | | $8.11 | $8.11 | $8.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.69 / $82.71 / $8,639.91
| Facility | | $63.69 | $82.71 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $10.56 / $10.56
| Professional | | $10.56 | $10.56 | $10.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.89 / $17.60 / $39.60
| Facility | | $8.89 | $17.60 | $39.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $15.69 / $22.00
| Professional | | $8.08 | $15.69 | $22.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $10.61 / $18.32
| Professional | | $6.23 | $10.61 | $18.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.80 / $28.72 / $60.23
| Facility | | $14.80 | $28.72 | $60.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.62 / $13.00
| Professional | | $8.11 | $11.62 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.51 / $36.82 / $60.93
| Facility | | $11.51 | $36.82 | $60.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $12.19 / $55.92
| Professional | | $8.74 | $12.19 | $55.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.06 / $21.03 / $44.55
| Facility | | $9.06 | $21.03 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $15.30 / $22.00
| Professional | | $8.08 | $15.30 | $22.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $13.54 / $20.28
| Facility | | $13.54 | $13.54 | $20.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $13.54 / $20.28
| Professional | | $11.92 | $13.54 | $20.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $8.67 / $23.56
| Professional | | $6.09 | $8.67 | $23.56 |