- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.62 / $49.08 / $78.95
| Facility | | $14.62 | $49.08 | $78.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $14.80 / $18.05
| Professional | | $12.96 | $14.80 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.07 / $110.47 / $8,639.91
| Facility | | $85.07 | $110.47 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $14.08 / $14.08
| Professional | | $14.08 | $14.08 | $14.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.86 / $23.46 / $52.79
| Facility | | $11.86 | $23.46 | $52.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $20.65 / $29.20
| Professional | | $10.72 | $20.65 | $29.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $10.65 / $24.44
| Professional | | $8.30 | $10.65 | $24.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.57 / $41.51 / $91.91
| Facility | | $8.57 | $41.51 | $91.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $10.83 / $17.50
| Professional | | $10.83 | $10.83 | $17.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.34 / $49.08 / $81.27
| Facility | | $15.34 | $49.08 | $81.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $14.62 / $74.55
| Professional | | $12.96 | $14.62 | $74.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.08 / $28.04 / $59.76
| Facility | | $12.08 | $28.04 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $20.65 / $29.20
| Professional | | $10.72 | $20.65 | $29.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $27.09
| Facility | | $18.05 | $18.05 | $27.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.88 / $18.05 / $27.09
| Professional | | $15.88 | $18.05 | $27.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.08 / $31.41
| Professional | | $8.11 | $11.08 | $31.41 |