- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $36.27 / $55.80
| Facility | | $10.81 | $36.27 | $55.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.63 / $10.81 / $55.09
| Professional | | $4.63 | $10.81 | $55.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $33.90 / $8,639.91
| Facility | | $26.11 | $33.90 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $10.41 / $10.41
| Professional | | $10.41 | $10.41 | $10.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.67 / $17.32 / $38.75
| Facility | | $8.67 | $17.32 | $38.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $12.90 / $19.10
| Professional | | $3.26 | $12.90 | $19.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $7.87 / $18.05
| Professional | | $5.84 | $7.87 | $18.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.34 / $34.02 / $55.09
| Facility | | $11.34 | $34.02 | $55.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $10.94 / $55.09
| Professional | | $8.40 | $10.94 | $55.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.85 / $17.34 / $44.55
| Facility | | $7.85 | $17.34 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.26 / $12.90 / $19.10
| Professional | | $3.26 | $12.90 | $19.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.34 / $13.34 / $13.34
| Facility | | $13.34 | $13.34 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $13.34 / $13.34
| Professional | | $7.36 | $13.34 | $13.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.18 / $7.34 / $20.01
| Professional | | $3.18 | $7.34 | $20.01 |