- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.45 / $37.33 / $59.13
| Facility | | $11.45 | $37.33 | $59.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $10.23 / $12.02
| Professional | | $7.45 | $10.23 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.24 / $56.15 / $8,639.91
| Facility | | $43.24 | $56.15 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $11.03 / $11.03
| Professional | | $11.03 | $11.03 | $11.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $18.37 / $44.15
| Facility | | $9.30 | $18.37 | $44.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $15.23 / $21.19
| Professional | | $5.44 | $15.23 | $21.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.34 / $19.14
| Professional | | $6.50 | $8.34 | $19.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.96 / $42.67 / $86.66
| Facility | | $23.96 | $42.67 | $86.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $8.48 / $8.48
| Professional | | $8.48 | $8.48 | $8.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $37.04 / $59.13
| Facility | | $12.01 | $37.04 | $59.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.69 / $11.17 / $58.40
| Professional | | $7.69 | $11.17 | $58.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $18.38 / $46.72
| Facility | | $9.19 | $18.38 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $15.23 / $20.65
| Professional | | $5.44 | $15.23 | $20.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.14 / $14.14 / $14.14
| Facility | | $14.14 | $14.14 | $14.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.21 / $14.14 / $14.14
| Professional | | $12.21 | $14.14 | $14.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $8.48 / $24.04
| Professional | | $5.63 | $8.48 | $24.04 |