- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $53.28 / $111.24
| Facility | | $10.97 | $53.28 | $111.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $11.48 / $15.68
| Professional | | $10.06 | $11.48 | $15.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.28 / $83.47 / $8,639.91
| Facility | | $64.28 | $83.47 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $10.06 / $10.06
| Professional | | $10.06 | $10.06 | $10.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.48 / $17.19 / $42.38
| Facility | | $8.48 | $17.19 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $10.32 / $17.47
| Professional | | $5.93 | $10.32 | $17.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.23 / $33.54 / $80.54
| Facility | | $18.23 | $33.54 | $80.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $10.97 / $12.50
| Professional | | $7.74 | $10.97 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $38.40 / $116.83
| Facility | | $10.97 | $38.40 | $116.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $11.52 / $53.28
| Professional | | $8.39 | $11.52 | $53.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.64 / $19.59 / $42.38
| Facility | | $8.64 | $19.59 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.90 / $12.90 / $12.90
| Facility | | $12.90 | $12.90 | $12.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.35 / $12.90 / $18.14
| Professional | | $11.35 | $12.90 | $18.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $8.36 / $23.61
| Professional | | $5.81 | $8.36 | $23.61 |