- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.89 / $36.54 / $56.22
| Facility | | $10.89 | $36.54 | $56.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.48 / $11.02 / $55.51
| Professional | | $10.48 | $11.02 | $55.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.73 / $87.95 / $8,639.91
| Facility | | $67.73 | $87.95 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.48 / $10.48 / $10.48
| Professional | | $10.48 | $10.48 | $10.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $17.91 / $44.55
| Facility | | $8.84 | $17.91 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $15.69 / $23.70
| Professional | | $8.39 | $15.69 | $23.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $10.75 / $18.20
| Professional | | $6.18 | $10.75 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.84 / $35.84 / $303.00
| Facility | | $35.84 | $35.84 | $303.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.42 / $36.54 / $56.22
| Facility | | $11.42 | $36.54 | $56.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $11.42 / $55.51
| Professional | | $10.39 | $11.42 | $55.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $20.41 / $44.55
| Facility | | $9.00 | $20.41 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $15.69 / $23.70
| Professional | | $8.39 | $15.69 | $23.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.44 / $13.44 / $13.44
| Facility | | $13.44 | $13.44 | $13.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.83 / $13.44 / $19.12
| Professional | | $11.83 | $13.44 | $19.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $8.74 / $24.60
| Professional | | $6.05 | $8.74 | $24.60 |