- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $41.69 / $69.18
| Facility | | $15.14 | $41.69 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $72.44
| Professional | | $10.96 | $15.14 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $22.91 / $114.82
| Facility | | $14.79 | $22.91 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $33.88
| Professional | | $9.77 | $16.22 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $39.81 / $63.10
| Facility | | $31.62 | $39.81 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $20.42
| Professional | | $15.14 | $15.14 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $25.70 / $61.66
| Facility | | $12.59 | $25.70 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $19.95 / $26.92
| Professional | | $11.75 | $19.95 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $3,630.78 / $9,772.37
| Facility | | $15.85 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $27.54
| Professional | | $23.44 | $23.44 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $48.98
| Professional | | $16.22 | $16.22 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $22.91 / $114.82
| Facility | | $14.79 | $22.91 | $114.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.22 / $33.88
| Professional | | $9.77 | $16.22 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $16.22 / $26.30
| Facility | | $9.33 | $16.22 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $13.49 / $38.02
| Professional | | $7.94 | $13.49 | $38.02 |