- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.19 / $42.72 / $79.56
| Facility | | $12.19 | $42.72 | $79.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $13.12 / $13.65
| Professional | | $7.98 | $13.12 | $13.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.15 / $95.00 / $8,639.91
| Facility | | $73.15 | $95.00 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $11.74 / $11.74
| Professional | | $11.74 | $11.74 | $11.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.89 / $20.04 / $49.98
| Facility | | $9.89 | $20.04 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.23
| Professional | | $9.47 | $17.35 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $12.04 / $20.38
| Professional | | $6.92 | $12.04 | $20.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.00 / $14.00 / $14.00
| Professional | | $14.00 | $14.00 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.06 / $42.67 / $79.56
| Facility | | $14.06 | $42.67 | $79.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.65 / $13.42 / $62.16
| Professional | | $11.65 | $13.42 | $62.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $22.87 / $49.98
| Facility | | $10.07 | $22.87 | $49.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $17.35 / $26.23
| Professional | | $9.47 | $17.35 | $26.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.05 / $15.05 / $15.05
| Facility | | $15.05 | $15.05 | $15.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $15.05 / $17.23
| Professional | | $13.24 | $15.05 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $15.00 / $25.59
| Professional | | $9.02 | $15.00 | $25.59 |