- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.66 / $49.21 / $113.60
| Facility | | $13.66 | $49.21 | $113.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $14.70 / $15.29
| Professional | | $13.05 | $14.70 | $15.29 |
- 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
- $13.16 / $13.16 / $13.16
| Professional | | $13.16 | $13.16 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $22.47 / $56.50
| Facility | | $11.09 | $22.47 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $13.50 / $22.84
| Professional | | $7.76 | $13.50 | $22.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.06 / $54.54 / $328.40
| Facility | | $23.06 | $54.54 | $328.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $16.00 / $16.00
| Professional | | $10.11 | $16.00 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.66 / $46.17 / $154.62
| Facility | | $13.66 | $46.17 | $154.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.15 / $15.18 / $69.67
| Professional | | $12.15 | $15.18 | $69.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.30 / $25.62 / $56.50
| Facility | | $11.30 | $25.62 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $16.87 / $16.87
| Facility | | $16.87 | $16.87 | $16.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.85 / $16.87 / $24.01
| Professional | | $14.85 | $16.87 | $24.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $11.08 / $30.87
| Professional | | $7.59 | $11.08 | $30.87 |