- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.32 / $46.97 / $96.35
| Facility | | $13.32 | $46.97 | $96.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $14.03 / $18.92
| Professional | | $12.83 | $14.03 | $18.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.03 / $107.82 / $8,639.91
| Facility | | $83.03 | $107.82 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $12.83 / $12.83
| Professional | | $12.83 | $12.83 | $12.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $21.90 / $54.33
| Facility | | $10.81 | $21.90 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $13.16 / $22.27
| Professional | | $7.57 | $13.16 | $22.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.94 / $46.40 / $146.41
| Facility | | $32.94 | $46.40 | $146.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.00 / $16.00 / $16.00
| Professional | | $16.00 | $16.00 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.98 / $46.69 / $96.35
| Facility | | $13.98 | $46.69 | $96.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $14.34 / $67.94
| Professional | | $11.84 | $14.34 | $67.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.01 / $25.00 / $54.33
| Facility | | $11.01 | $25.00 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $16.45 / $16.45
| Facility | | $16.45 | $16.45 | $16.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.48 / $16.45 / $23.43
| Professional | | $14.48 | $16.45 | $23.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.82 / $28.85
| Professional | | $7.40 | $10.82 | $28.85 |