- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $34.67 / $56.23
| Facility | | $12.02 | $34.67 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.96 / $22.91
| Professional | | $8.91 | $10.96 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.61 / $89.13 / $5,011.87
| Facility | | $67.61 | $89.13 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $11.22
| Professional | | $10.00 | $10.00 | $11.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $19.95 / $43.65
| Facility | | $8.51 | $19.95 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $14.45 / $22.39
| Professional | | $7.76 | $14.45 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.55 / $18.62
| Professional | | $6.03 | $9.55 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $14.45 / $22.39
| Professional | | $12.59 | $14.45 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $33.88 / $57.54
| Facility | | $12.02 | $33.88 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $46.77
| Professional | | $8.91 | $12.02 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $11.48 / $15.85
| Facility | | $11.22 | $11.48 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.48 / $46.77
| Professional | | $11.22 | $11.48 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $12.88 / $15.49
| Facility | | $8.51 | $12.88 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $9.33 / $22.39
| Professional | | $5.75 | $9.33 | $22.39 |