- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.77 / $48.20 / $71.09
| Facility | | $13.77 | $48.20 | $71.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.77 / $14.62 / $15.21
| Professional | | $13.77 | $14.62 | $15.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.59 / $109.84 / $8,639.91
| Facility | | $84.59 | $109.84 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $13.26 / $13.26
| Professional | | $13.26 | $13.26 | $13.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $22.64 / $56.50
| Facility | | $11.18 | $22.64 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.82 / $29.20
| Professional | | $10.56 | $19.82 | $29.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $10.10 / $23.02
| Professional | | $7.82 | $10.10 | $23.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $13.10 / $16.00
| Professional | | $10.19 | $13.10 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $46.54 / $74.06
| Facility | | $14.45 | $46.54 | $74.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.24 / $14.99 / $70.20
| Professional | | $12.24 | $14.99 | $70.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.38 / $25.48 / $56.50
| Facility | | $11.38 | $25.48 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.82 / $29.20
| Professional | | $10.56 | $19.82 | $29.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.00 / $17.00 / $17.00
| Facility | | $17.00 | $17.00 | $17.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.96 / $17.00 / $23.88
| Professional | | $14.96 | $17.00 | $23.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $10.54 / $29.58
| Professional | | $7.65 | $10.54 | $29.58 |