- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.69 / $29.18 / $44.89
| Facility | | $8.69 | $29.18 | $44.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $9.00 / $10.30
| Professional | | $8.36 | $9.00 | $10.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.05 / $67.59 / $8,639.91
| Facility | | $52.05 | $67.59 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $8.36 / $8.36
| Professional | | $8.36 | $8.36 | $8.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.05 / $14.28 / $35.86
| Facility | | $7.05 | $14.28 | $35.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $12.39 / $18.20
| Professional | | $6.52 | $12.39 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.94 / $8.58 / $14.53
| Professional | | $4.94 | $8.58 | $14.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.89 / $24.89 / $320.06
| Facility | | $24.89 | $24.89 | $320.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.11 / $29.18 / $44.89
| Facility | | $9.11 | $29.18 | $44.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.25 / $44.31
| Professional | | $7.73 | $9.25 | $44.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.18 / $15.68 / $35.86
| Facility | | $7.18 | $15.68 | $35.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $12.39 / $18.20
| Professional | | $6.52 | $12.39 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.73 / $10.73 / $10.73
| Facility | | $10.73 | $10.73 | $10.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $10.73 / $14.70
| Professional | | $9.44 | $10.73 | $14.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.66 / $12.88 / $12.88
| Facility | | $9.66 | $12.88 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.44 / $18.67
| Professional | | $4.51 | $6.44 | $18.67 |