- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.82 / $36.33 / $55.85
| Facility | | $10.82 | $36.33 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $10.82 / $55.18
| Professional | | $5.58 | $10.82 | $55.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.61 / $47.54 / $8,639.91
| Facility | | $36.61 | $47.54 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $10.42 / $10.42
| Professional | | $10.42 | $10.42 | $10.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $17.36 / $44.15
| Facility | | $8.77 | $17.36 | $44.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $14.92 / $20.16
| Professional | | $5.44 | $14.92 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.06 / $7.88 / $18.09
| Professional | | $6.06 | $7.88 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.46 / $24.46 / $24.46
| Facility | | $24.46 | $24.46 | $24.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.36 / $36.33 / $55.85
| Facility | | $11.36 | $36.33 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.42 / $10.96 / $55.18
| Professional | | $8.42 | $10.96 | $55.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.68 / $17.55 / $44.55
| Facility | | $8.68 | $17.55 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $14.92 / $19.10
| Professional | | $5.44 | $14.92 | $19.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $13.36 / $13.36
| Facility | | $13.36 | $13.36 | $13.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $13.36 / $13.36
| Professional | | $10.33 | $13.36 | $13.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $8.02 / $20.56
| Professional | | $5.41 | $8.02 | $20.56 |