- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $21.88 / $53.70
| Facility | | $8.71 | $21.88 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.08 / $28.84
| Professional | | $6.03 | $7.08 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.65 / $57.54 / $5,011.87
| Facility | | $43.65 | $57.54 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $6.46 / $7.76
| Professional | | $6.46 | $6.46 | $7.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $12.59 / $28.18
| Facility | | $5.50 | $12.59 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $9.12 / $14.45
| Professional | | $5.13 | $9.12 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $5.13 / $11.75
| Professional | | $3.89 | $5.13 | $11.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $8.13 / $14.45
| Facility | | $8.13 | $8.13 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $9.12 / $14.13
| Professional | | $7.94 | $9.12 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $20.89 / $36.31
| Facility | | $10.72 | $20.89 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $5.37 / $6.92
| Professional | | $4.90 | $5.37 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $21.88 / $53.70
| Facility | | $7.59 | $21.88 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.13 / $30.20
| Professional | | $6.03 | $8.13 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $9.33 / $9.33
| Facility | | $9.33 | $9.33 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $9.33 / $29.51
| Professional | | $8.91 | $9.33 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $8.13 / $9.77
| Facility | | $5.50 | $8.13 | $9.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.72 / $5.37 / $14.13
| Professional | | $3.72 | $5.37 | $14.13 |