- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $31.62 / $50.12
| Facility | | $10.72 | $31.62 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $8.91 / $20.89
| Professional | | $7.94 | $8.91 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.66 / $81.28 / $5,011.87
| Facility | | $61.66 | $81.28 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $11.48
| Professional | | $8.91 | $8.91 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $18.20 / $38.90
| Facility | | $7.76 | $18.20 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $12.88 / $20.42
| Professional | | $6.92 | $12.88 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $11.48 / $16.60
| Professional | | $5.37 | $11.48 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $11.48
| Facility | | $11.48 | $11.48 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $12.88 / $19.95
| Professional | | $11.22 | $12.88 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $30.20 / $51.29
| Facility | | $10.72 | $30.20 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $40.74
| Professional | | $7.94 | $10.00 | $40.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $14.13 / $16.22
| Facility | | $11.48 | $14.13 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $14.13 / $52.48
| Professional | | $11.48 | $14.13 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $11.48 / $13.80
| Facility | | $7.76 | $11.48 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $7.41 / $19.95
| Professional | | $4.79 | $7.41 | $19.95 |