- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.49 / $38.56 / $60.55
| Facility | | $11.49 | $38.56 | $60.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $12.32 / $24.10
| Professional | | $11.49 | $12.32 | $24.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.91 / $90.78 / $8,639.91
| Facility | | $69.91 | $90.78 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.06 / $11.06 / $11.06
| Professional | | $11.06 | $11.06 | $11.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $18.89 / $46.72
| Facility | | $9.32 | $18.89 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $16.52 / $24.12
| Professional | | $8.69 | $16.52 | $24.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $9.28 / $19.20
| Professional | | $6.52 | $9.28 | $19.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.23 / $32.51 / $44.36
| Facility | | $29.23 | $32.51 | $44.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $11.01 / $13.50
| Professional | | $11.01 | $11.01 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $38.56 / $60.55
| Facility | | $12.05 | $38.56 | $60.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.64 / $12.32 / $58.56
| Professional | | $10.64 | $12.32 | $58.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.50 / $21.05 / $46.72
| Facility | | $9.50 | $21.05 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $16.52 / $24.12
| Professional | | $8.69 | $16.52 | $24.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.18 / $14.18 / $14.18
| Facility | | $14.18 | $14.18 | $14.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $14.18 / $19.73
| Professional | | $12.48 | $14.18 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $9.08 / $24.67
| Professional | | $6.30 | $9.08 | $24.67 |