- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $34.67 / $102.33
| Facility | | $12.88 | $34.67 | $102.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $57.54
| Professional | | $8.91 | $12.02 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $169.82
| Facility | | $11.75 | $18.20 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $27.54
| Professional | | $7.76 | $12.88 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $31.62 / $50.12
| Facility | | $25.12 | $31.62 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $16.60
| Professional | | $12.30 | $12.30 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $20.89 / $50.12
| Facility | | $10.23 | $20.89 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.85 / $22.39
| Professional | | $9.33 | $15.85 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $3,630.78 / $9,772.37
| Facility | | $18.62 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $21.88
| Professional | | $18.62 | $18.62 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $39.81
| Professional | | $12.88 | $12.88 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $16.60 / $190.55
| Facility | | $12.30 | $16.60 | $190.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $169.82
| Facility | | $11.75 | $18.20 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $27.54
| Professional | | $7.76 | $12.88 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.88 / $21.88
| Facility | | $7.41 | $12.88 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.96 / $30.90
| Professional | | $6.46 | $10.96 | $30.90 |