- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $46.50 / $79.38
| Facility | | $13.10 | $46.50 | $79.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.25 / $13.41 / $15.50
| Professional | | $12.25 | $13.41 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $78.20 / $101.54 / $8,639.91
| Facility | | $78.20 | $101.54 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $12.09
| Professional | | $12.09 | $12.09 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $20.65 / $51.07
| Facility | | $10.19 | $20.65 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.76 / $27.08
| Professional | | $9.77 | $17.76 | $27.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $12.40 / $20.99
| Professional | | $7.13 | $12.40 | $20.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.26 / $44.18 / $110.00
| Facility | | $26.26 | $44.18 | $110.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $15.00 / $15.00
| Professional | | $9.30 | $15.00 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.56 / $41.33 / $134.94
| Facility | | $12.56 | $41.33 | $134.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $13.31 / $64.02
| Professional | | $10.08 | $13.31 | $64.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.38 / $23.55 / $51.07
| Facility | | $10.38 | $23.55 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.76 / $27.08
| Professional | | $9.77 | $17.76 | $27.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $15.50 / $15.50
| Facility | | $15.50 | $15.50 | $15.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.64 / $15.50 / $22.06
| Professional | | $13.64 | $15.50 | $22.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $9.92 / $28.37
| Professional | | $6.51 | $9.92 | $28.37 |