- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.34 / $63.21 / $89.55
| Facility | | $15.34 | $63.21 | $89.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.27 / $16.05 / $16.36
| Professional | | $14.27 | $16.05 | $16.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.08 / $118.27 / $8,639.91
| Facility | | $91.08 | $118.27 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.09 / $14.09 / $14.09
| Professional | | $14.09 | $14.09 | $14.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $24.05 / $59.76
| Facility | | $11.87 | $24.05 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $20.65 / $31.74
| Professional | | $11.34 | $20.65 | $31.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $10.66 / $24.45
| Professional | | $7.97 | $10.66 | $24.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.82 / $59.94 / $74.45
| Facility | | $38.82 | $59.94 | $74.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $10.84 / $17.50
| Professional | | $10.84 | $10.84 | $17.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.35 / $52.64 / $89.55
| Facility | | $15.35 | $52.64 | $89.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.00 / $16.16 / $74.59
| Professional | | $13.00 | $16.16 | $74.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $27.42 / $59.76
| Facility | | $12.09 | $27.42 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $20.65 / $31.74
| Professional | | $11.34 | $20.65 | $31.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.05 / $18.05 / $18.05
| Facility | | $18.05 | $18.05 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.89 / $18.05 / $25.71
| Professional | | $15.89 | $18.05 | $25.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.08 / $34.31
| Professional | | $8.13 | $11.08 | $34.31 |