- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.20 / $44.32 / $68.19
| Facility | | $13.20 | $44.32 | $68.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $13.20 / $67.31
| Professional | | $3.24 | $13.20 | $67.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.23 / $23.68 / $8,639.91
| Facility | | $18.23 | $23.68 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.71 / $12.71 / $12.71
| Professional | | $12.71 | $12.71 | $12.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $21.10 / $47.38
| Facility | | $10.60 | $21.10 | $47.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $9.75 / $23.23
| Professional | | $2.33 | $9.75 | $23.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.08 / $9.61 / $22.07
| Professional | | $4.08 | $9.61 | $22.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.20 / $38.53 / $67.31
| Facility | | $13.20 | $38.53 | $67.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $13.37 / $67.31
| Professional | | $10.27 | $13.37 | $67.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.49 / $21.03 / $54.33
| Facility | | $5.49 | $21.03 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.33 / $15.74 / $23.23
| Professional | | $2.33 | $15.74 | $23.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.30 / $16.30 / $16.30
| Facility | | $16.30 | $16.30 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $16.30 / $16.30
| Professional | | $5.15 | $16.30 | $16.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.95 / $9.77 / $24.45
| Professional | | $2.95 | $9.77 | $24.45 |