- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $56.40 / $76.67
| Facility | | $13.89 | $56.40 | $76.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $14.56 / $14.83
| Professional | | $13.24 | $14.56 | $14.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.41 / $107.02 / $8,639.91
| Facility | | $82.41 | $107.02 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.75 / $12.75 / $12.75
| Professional | | $12.75 | $12.75 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $21.76 / $54.33
| Facility | | $10.74 | $21.76 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $10.61 / $22.12
| Professional | | $7.52 | $10.61 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.53 / $41.57 / $95.47
| Facility | | $26.53 | $41.57 | $95.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $9.80 / $15.50
| Professional | | $9.80 | $9.80 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $46.39 / $115.46
| Facility | | $13.89 | $46.39 | $115.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $14.61 / $67.48
| Professional | | $11.76 | $14.61 | $67.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $24.83 / $54.33
| Facility | | $10.94 | $24.83 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $16.34 / $16.34
| Facility | | $16.34 | $16.34 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.38 / $16.34 / $23.26
| Professional | | $14.38 | $16.34 | $23.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $10.62 / $32.89
| Professional | | $7.35 | $10.62 | $32.89 |