- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $46.65 / $72.14
| Facility | | $13.24 | $46.65 | $72.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.91 / $14.57 / $26.72
| Professional | | $12.91 | $14.57 | $26.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.83 / $53.01 / $8,639.91
| Facility | | $40.83 | $53.01 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.75 / $12.75 / $12.75
| Professional | | $12.75 | $12.75 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $21.76 / $54.33
| Facility | | $10.74 | $21.76 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $9.64 / $22.12
| Professional | | $7.52 | $9.64 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.60 / $34.72 / $68.20
| Facility | | $22.60 | $34.72 | $68.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $9.80 / $9.80
| Professional | | $8.00 | $9.80 | $9.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $38.26 / $74.19
| Facility | | $13.24 | $38.26 | $74.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $14.64 / $67.48
| Professional | | $11.76 | $14.64 | $67.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $24.83 / $54.33
| Facility | | $10.94 | $24.83 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $16.34 / $16.34
| Facility | | $16.34 | $16.34 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $16.34 / $16.34
| Professional | | $11.53 | $16.34 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $9.80 / $27.50
| Professional | | $6.79 | $9.80 | $27.50 |