- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $45.68 / $70.25
| Facility | | $13.61 | $45.68 | $70.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $13.61 / $69.38
| Professional | | $11.18 | $13.61 | $69.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.93 / $81.72 / $8,639.91
| Facility | | $62.93 | $81.72 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.10 / $13.10 / $13.10
| Professional | | $13.10 | $13.10 | $13.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.04 / $21.84 / $55.42
| Facility | | $11.04 | $21.84 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $19.13 / $25.32
| Professional | | $7.77 | $19.13 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.93 / $9.91 / $22.75
| Professional | | $3.93 | $9.91 | $22.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.28 / $45.68 / $70.25
| Facility | | $14.28 | $45.68 | $70.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $13.78 / $69.38
| Professional | | $11.18 | $13.78 | $69.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $23.84 / $55.42
| Facility | | $11.25 | $23.84 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $19.13 / $24.26
| Professional | | $7.77 | $19.13 | $24.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $16.80
| Facility | | $16.80 | $16.80 | $16.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.78 / $16.80 / $17.76
| Professional | | $14.78 | $16.80 | $17.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.12 / $20.16 / $20.16
| Facility | | $15.12 | $20.16 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $10.42 / $25.20
| Professional | | $7.32 | $10.42 | $25.20 |