- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $35.63 / $71.61
| Facility | | $8.25 | $35.63 | $71.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.66 / $8.25 / $25.69
| Professional | | $5.66 | $8.25 | $25.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $16.80
| Professional | | $16.80 | $16.80 | $16.80 |
- 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
- $7.94 / $7.94 / $7.94
| Professional | | $7.94 | $7.94 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $13.56 / $33.68
| Facility | | $6.69 | $13.56 | $33.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.56 / $17.77
| Professional | | $6.37 | $11.56 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $8.14 / $13.78
| Professional | | $4.68 | $8.14 | $13.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.73 / $16.73 / $16.73
| Professional | | $16.73 | $16.73 | $16.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $27.89 / $48.40
| Facility | | $8.65 | $27.89 | $48.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.33 / $9.42 / $42.04
| Professional | | $7.33 | $9.42 | $42.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.82 / $15.46 / $33.68
| Facility | | $6.82 | $15.46 | $33.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.56 / $17.77
| Professional | | $6.37 | $11.56 | $17.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $10.18
| Facility | | $10.18 | $10.18 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $10.18 / $10.52
| Professional | | $8.96 | $10.18 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $6.31 / $20.05
| Professional | | $4.58 | $6.31 | $20.05 |