- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $22.91 / $43.65
| Facility | | $13.49 | $22.91 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $34.67
| Professional | | $7.08 | $10.00 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $66.07
| Facility | | $9.77 | $15.14 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $12.30 / $27.54
| Professional | | $5.37 | $12.30 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $26.30 / $38.02
| Facility | | $21.38 | $26.30 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $12.59 / $13.18
| Professional | | $9.77 | $12.59 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $17.38 / $38.90
| Facility | | $8.71 | $17.38 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $16.22 / $19.95
| Professional | | $7.76 | $16.22 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $3,630.78 / $9,772.37
| Facility | | $10.47 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $22.39
| Professional | | $19.05 | $19.05 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $28.84
| Professional | | $13.49 | $13.49 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $66.07
| Facility | | $9.77 | $15.14 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $12.30 / $27.54
| Professional | | $5.37 | $12.30 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $13.49 / $16.22
| Facility | | $6.46 | $13.49 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $7.94 / $25.70
| Professional | | $3.16 | $7.94 | $25.70 |