- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $29.51 / $46.77
| Facility | | $15.49 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.02 / $22.91
| Professional | | $10.00 | $12.02 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $39.81
| Facility | | $15.49 | $15.49 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.94 / $34.67
| Professional | | $7.08 | $7.94 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $15.49 / $15.49
| Facility | | $9.33 | $15.49 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $15.49 / $15.49
| Professional | | $11.22 | $15.49 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $33.11 / $154.88
| Facility | | $11.75 | $33.11 | $154.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $21.38 / $95.50
| Professional | | $9.33 | $21.38 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $18.62 / $46.77
| Facility | | $11.48 | $18.62 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.72 / $30.20
| Professional | | $7.24 | $10.72 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $15.49 / $18.62
| Professional | | $13.18 | $15.49 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $28.84 / $50,118.72
| Facility | | $17.78 | $28.84 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $13.80 / $19.50
| Facility | | $9.33 | $13.80 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $9.33 / $23.44
| Professional | | $6.46 | $9.33 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $17.78 / $45.71
| Facility | | $12.30 | $17.78 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $16.22 / $52.48
| Professional | | $13.18 | $16.22 | $52.48 |