- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.15 / $47.52 / $63.11
| Facility | | $12.15 | $47.52 | $63.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $12.70 / $17.07
| Professional | | $11.57 | $12.70 | $17.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.05 / $93.56 / $8,639.91
| Facility | | $72.05 | $93.56 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.15 / $11.15 / $11.15
| Professional | | $11.15 | $11.15 | $11.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.39 / $19.03 / $47.81
| Facility | | $9.39 | $19.03 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.52 / $24.97
| Professional | | $9.01 | $16.52 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $11.43 / $19.35
| Professional | | $6.57 | $11.43 | $19.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.21 / $46.60 / $123.91
| Facility | | $24.21 | $46.60 | $123.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $8.57 / $13.50
| Professional | | $8.57 | $8.57 | $13.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.15 / $40.58 / $66.09
| Facility | | $12.15 | $40.58 | $66.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $12.79 / $59.02
| Professional | | $10.29 | $12.79 | $59.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.57 / $21.71 / $47.81
| Facility | | $9.57 | $21.71 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.52 / $24.97
| Professional | | $9.01 | $16.52 | $24.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.29 / $14.29 / $14.29
| Facility | | $14.29 | $14.29 | $14.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.58 / $14.29 / $20.34
| Professional | | $12.58 | $14.29 | $20.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $10.43 / $27.15
| Professional | | $6.43 | $10.43 | $27.15 |