- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $39.20 / $102.55
| Facility | | $11.12 | $39.20 | $102.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $9.99 / $13.73
| Professional | | $9.85 | $9.99 | $13.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.69 / $84.01 / $8,639.91
| Facility | | $64.69 | $84.01 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $10.71 / $10.71
| Professional | | $10.71 | $10.71 | $10.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $17.84 / $40.14
| Facility | | $9.02 | $17.84 | $40.14 |
- 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
- $6.32 / $10.61 / $18.59
| Professional | | $6.32 | $10.61 | $18.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.42 / $45.38 / $182.56
| Facility | | $24.42 | $45.38 | $182.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $13.00 / $13.00
| Professional | | $8.24 | $13.00 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.12 / $36.34 / $61.27
| Facility | | $11.12 | $36.34 | $61.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $11.12 / $56.70
| Professional | | $9.85 | $11.12 | $56.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $21.03 / $45.64
| Facility | | $9.19 | $21.03 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $15.69 / $22.00
| Professional | | $8.08 | $15.69 | $22.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $13.73 / $20.60
| Facility | | $13.73 | $13.73 | $20.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $13.73 / $20.60
| Professional | | $12.08 | $13.73 | $20.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $8.92 / $27.63
| Professional | | $6.18 | $8.92 | $27.63 |