- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.57 / $45.55 / $70.04
| Facility | | $13.57 | $45.55 | $70.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $14.39 / $15.20
| Professional | | $13.23 | $14.39 | $15.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.48 / $109.71 / $8,639.91
| Facility | | $84.48 | $109.71 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $13.07
| Professional | | $13.07 | $13.07 | $13.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.01 / $22.31 / $55.42
| Facility | | $11.01 | $22.31 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.20
| Professional | | $10.56 | $19.41 | $29.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $9.88 / $22.68
| Professional | | $7.71 | $9.88 | $22.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.24 / $45.55 / $70.04
| Facility | | $14.24 | $45.55 | $70.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $14.60 / $69.18
| Professional | | $12.06 | $14.60 | $69.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $25.44 / $55.42
| Facility | | $11.22 | $25.44 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.20
| Professional | | $10.56 | $19.41 | $29.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.75 / $16.75 / $16.75
| Facility | | $16.75 | $16.75 | $16.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.74 / $16.75 / $23.84
| Professional | | $14.74 | $16.75 | $23.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.54 / $10.89 / $30.65
| Professional | | $7.54 | $10.89 | $30.65 |