- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.27 / $44.54 / $68.50
| Facility | | $13.27 | $44.54 | $68.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.94 / $14.65 / $29.20
| Professional | | $12.94 | $14.65 | $29.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $82.65 / $107.33 / $8,639.91
| Facility | | $82.65 | $107.33 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.78 / $12.78 / $12.78
| Professional | | $12.78 | $12.78 | $12.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.77 / $21.82 / $54.33
| Facility | | $10.77 | $21.82 | $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
- $7.53 / $10.61 / $22.18
| Professional | | $7.53 | $10.61 | $22.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.02 / $52.88 / $87.93
| Facility | | $38.02 | $52.88 | $87.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.92 / $44.54 / $71.66
| Facility | | $13.92 | $44.54 | $71.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.79 / $14.76 / $67.65
| Professional | | $11.79 | $14.76 | $67.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $24.90 / $54.33
| Facility | | $10.97 | $24.90 | $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
- $16.38 / $16.38 / $16.38
| Facility | | $16.38 | $16.38 | $16.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.41 / $16.38 / $23.33
| Professional | | $14.41 | $16.38 | $23.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $10.48 / $28.50
| Professional | | $7.37 | $10.48 | $28.50 |