- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $33.11 / $77.62
| Facility | | $12.88 | $33.11 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $11.75 / $34.67
| Professional | | $8.91 | $11.75 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $79.43
| Facility | | $11.75 | $18.20 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $26.92
| Professional | | $7.76 | $12.88 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $31.62 / $45.71
| Facility | | $25.12 | $31.62 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $16.22
| Professional | | $12.30 | $12.30 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $20.42 / $50.12
| Facility | | $10.00 | $20.42 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.85 / $21.88
| Professional | | $9.33 | $15.85 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $3,630.78 / $9,772.37
| Facility | | $14.79 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $21.88
| Professional | | $18.62 | $18.62 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $38.02
| Professional | | $12.88 | $12.88 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $15.14 / $16.60
| Facility | | $11.75 | $15.14 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $79.43
| Facility | | $11.75 | $18.20 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $26.92
| Professional | | $7.76 | $12.88 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.88 / $21.38
| Facility | | $7.41 | $12.88 | $21.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.96 / $27.54
| Professional | | $6.46 | $10.96 | $27.54 |