- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.88 / $32.15 / $69.65
| Facility | | $6.88 | $32.15 | $69.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $6.34 / $8.16
| Professional | | $6.09 | $6.34 | $8.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.22 / $45.75 / $8,639.91
| Facility | | $35.22 | $45.75 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $6.32 / $6.32
| Professional | | $6.32 | $6.32 | $6.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.33 / $10.54 / $27.17
| Facility | | $5.33 | $10.54 | $27.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $9.18 / $12.27
| Professional | | $4.34 | $9.18 | $12.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $4.78 / $10.97
| Professional | | $3.73 | $4.78 | $10.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.98 / $30.82 / $70.00
| Facility | | $15.98 | $30.82 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.86 / $4.86 / $6.50
| Professional | | $4.86 | $4.86 | $6.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.58 / $30.38 / $73.67
| Facility | | $7.58 | $30.38 | $73.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.04 / $6.34 / $33.45
| Professional | | $4.04 | $6.34 | $33.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.43 / $10.80 / $27.17
| Facility | | $5.43 | $10.80 | $27.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $9.18 / $12.27
| Professional | | $4.34 | $9.18 | $12.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.10 / $8.10 / $8.10
| Facility | | $8.10 | $8.10 | $8.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $8.10 / $9.94
| Professional | | $7.13 | $8.10 | $9.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.40 / $4.86 / $14.09
| Professional | | $3.40 | $4.86 | $14.09 |