- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.92 / $34.77 / $93.06
| Facility | | $9.92 | $34.77 | $93.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $10.88 / $11.10
| Professional | | $9.68 | $10.88 | $11.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.68 / $76.20 / $8,639.91
| Facility | | $58.68 | $76.20 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $9.56 / $9.56
| Professional | | $9.56 | $9.56 | $9.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.05 / $16.30 / $40.20
| Facility | | $8.05 | $16.30 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $14.04 / $21.58
| Professional | | $7.61 | $14.04 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.23 / $16.59
| Professional | | $5.64 | $7.23 | $16.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.56 / $23.56 / $35.28
| Facility | | $23.56 | $23.56 | $35.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $11.00 / $11.00
| Professional | | $11.00 | $11.00 | $11.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $33.31 / $54.07
| Facility | | $10.41 | $33.31 | $54.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $10.97 / $50.59
| Professional | | $8.82 | $10.97 | $50.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $18.61 / $40.20
| Facility | | $8.19 | $18.61 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $14.04 / $21.58
| Professional | | $7.61 | $14.04 | $21.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $12.25
| Facility | | $12.25 | $12.25 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $12.25 / $16.55
| Professional | | $10.78 | $12.25 | $16.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $7.60 / $22.42
| Professional | | $5.15 | $7.60 | $22.42 |