- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.83 / $39.70 / $61.04
| Facility | | $11.83 | $39.70 | $61.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $12.54 / $13.24
| Professional | | $11.53 | $12.54 | $13.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.59 / $95.57 / $8,639.91
| Facility | | $73.59 | $95.57 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.39 / $11.39 / $11.39
| Professional | | $11.39 | $11.39 | $11.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $19.44 / $48.90
| Facility | | $9.60 | $19.44 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $16.93 / $25.39
| Professional | | $9.16 | $16.93 | $25.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $10.61 / $19.77
| Professional | | $6.72 | $10.61 | $19.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.62 / $96.80 / $96.80
| Facility | | $43.62 | $96.80 | $96.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.76 / $8.76 / $14.00
| Professional | | $8.76 | $8.76 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.83 / $39.70 / $61.04
| Facility | | $11.83 | $39.70 | $61.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.51 / $12.72 / $60.30
| Professional | | $10.51 | $12.72 | $60.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $22.18 / $48.90
| Facility | | $9.77 | $22.18 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $16.93 / $25.39
| Professional | | $9.16 | $16.93 | $25.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.60 / $14.60 / $14.60
| Facility | | $14.60 | $14.60 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $14.60 / $20.78
| Professional | | $12.85 | $14.60 | $20.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $9.34 / $25.57
| Professional | | $6.57 | $9.34 | $25.57 |