- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $41.99 / $242.90
| Facility | | $12.31 | $41.99 | $242.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $10.39 / $12.31
| Professional | | $9.46 | $10.39 | $12.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.74 / $71.09 / $8,639.91
| Facility | | $54.74 | $71.09 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $11.29 / $11.29
| Professional | | $11.29 | $11.29 | $11.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.52 / $18.82 / $47.81
| Facility | | $9.52 | $18.82 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $16.45 / $21.71
| Professional | | $6.83 | $16.45 | $21.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $8.53 / $19.61
| Professional | | $6.66 | $8.53 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.78 / $50.83 / $119.30
| Facility | | $21.78 | $50.83 | $119.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $41.06 / $242.90
| Facility | | $12.31 | $41.06 | $242.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.72 / $11.44 / $59.80
| Professional | | $9.72 | $11.44 | $59.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $19.28 / $47.81
| Facility | | $9.69 | $19.28 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $16.45 / $21.17
| Professional | | $6.83 | $16.45 | $21.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $14.48 / $14.48
| Facility | | $14.48 | $14.48 | $14.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $14.48 / $15.46
| Professional | | $12.74 | $14.48 | $15.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.37 / $6.37 / $6.37
| Facility | | $6.37 | $6.37 | $6.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $8.98 / $26.50
| Professional | | $6.52 | $8.98 | $26.50 |