- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $33.88 / $165.96
| Facility | | $12.88 | $33.88 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $12.02 / $57.54
| Professional | | $7.94 | $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 / $26.92
| Professional | | $7.76 | $12.88 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $31.62 / $45.71
| Facility | | $25.12 | $31.62 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $16.60
| Professional | | $12.02 | $12.02 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $20.42 / $50.12
| Facility | | $10.00 | $20.42 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.85 / $21.88
| Professional | | $9.33 | $15.85 | $21.88 |
- 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 / $38.90
| Professional | | $12.88 | $12.88 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $15.85 / $181.97
| Facility | | $15.14 | $15.85 | $181.97 |
- 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 / $26.92
| Professional | | $7.76 | $12.88 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.88 / $20.89
| Facility | | $7.41 | $12.88 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $10.72 / $30.90
| Professional | | $6.31 | $10.72 | $30.90 |