- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $45.11 / $76.80
| Facility | | $13.44 | $45.11 | $76.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.11 / $14.79 / $16.59
| Professional | | $13.11 | $14.79 | $16.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.69 / $108.67 / $8,639.91
| Facility | | $83.69 | $108.67 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.94 / $12.94 / $12.94
| Professional | | $12.94 | $12.94 | $12.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.90 / $22.08 / $55.42
| Facility | | $10.90 | $22.08 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $19.00 / $29.20
| Professional | | $10.41 | $19.00 | $29.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.63 / $10.61 / $22.46
| Professional | | $7.63 | $10.61 | $22.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.28 / $46.67 / $73.56
| Facility | | $28.28 | $46.67 | $73.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $9.94 / $16.00
| Professional | | $9.94 | $9.94 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $45.11 / $76.80
| Facility | | $13.44 | $45.11 | $76.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.94 / $14.82 / $68.52
| Professional | | $11.94 | $14.82 | $68.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $25.21 / $55.42
| Facility | | $11.10 | $25.21 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $19.00 / $29.20
| Professional | | $10.41 | $19.00 | $29.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.59 / $16.59 / $16.59
| Facility | | $16.59 | $16.59 | $16.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.60 / $16.59 / $23.62
| Professional | | $14.60 | $16.59 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $11.13 / $30.36
| Professional | | $7.47 | $11.13 | $30.36 |