- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.19 / $39.28 / $64.59
| Facility | | $12.19 | $39.28 | $64.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.52 / $13.01
| Professional | | $9.33 | $12.52 | $13.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.36 / $93.96 / $8,639.91
| Facility | | $72.36 | $93.96 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $11.19 / $11.19
| Professional | | $11.19 | $11.19 | $11.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.43 / $19.11 / $47.81
| Facility | | $9.43 | $19.11 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.52 / $24.97
| Professional | | $9.01 | $16.52 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $9.09 / $19.43
| Professional | | $6.60 | $9.09 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.94 / $44.13 / $140.37
| Facility | | $23.94 | $44.13 | $140.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.61 / $14.00 / $14.00
| Professional | | $8.61 | $14.00 | $14.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.19 / $36.15 / $63.36
| Facility | | $12.19 | $36.15 | $63.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.84 / $59.27
| Professional | | $9.33 | $12.84 | $59.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $21.80 / $47.81
| Facility | | $9.61 | $21.80 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.52 / $24.97
| Professional | | $9.01 | $16.52 | $24.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $14.35 / $14.35
| Facility | | $14.35 | $14.35 | $14.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.63 / $14.35 / $20.42
| Professional | | $12.63 | $14.35 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.61 / $24.97
| Professional | | $6.03 | $8.61 | $24.97 |