- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $33.88 / $63.10
| Facility | | $14.13 | $33.88 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $14.13 / $66.07
| Professional | | $10.96 | $14.13 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $20.89 / $91.20
| Facility | | $13.49 | $20.89 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $14.79 / $31.62
| Professional | | $6.31 | $14.79 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $36.31 / $58.88
| Facility | | $29.51 | $36.31 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $19.05
| Professional | | $14.13 | $14.13 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $23.44 / $57.54
| Facility | | $11.75 | $23.44 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $25.12
| Professional | | $10.96 | $18.20 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $3,630.78 / $9,772.37
| Facility | | $21.38 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $21.38 / $25.12
| Professional | | $21.38 | $21.38 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $45.71
| Professional | | $14.79 | $14.79 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $20.89 / $91.20
| Facility | | $13.49 | $20.89 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $14.79 / $31.62
| Professional | | $7.08 | $14.79 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $14.79 / $24.55
| Facility | | $8.51 | $14.79 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $12.59 / $35.48
| Professional | | $3.16 | $12.59 | $35.48 |