- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $27.68 / $42.56
| Facility | | $8.25 | $27.68 | $42.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $8.74 / $9.24
| Professional | | $8.03 | $8.74 | $9.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.36 / $66.69 / $8,639.91
| Facility | | $51.36 | $66.69 | $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 / $6.01 / $13.78
| Professional | | $4.68 | $6.01 | $13.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.63 / $21.63 / $21.63
| Facility | | $21.63 | $21.63 | $21.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Professional | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $25.95 / $42.56
| Facility | | $8.25 | $25.95 | $42.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.33 / $8.88 / $42.04
| Professional | | $7.33 | $8.88 | $42.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.82 / $15.48 / $33.68
| Facility | | $6.82 | $15.48 | $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 / $14.49
| Professional | | $8.96 | $10.18 | $14.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.31 / $18.63
| Professional | | $4.28 | $6.31 | $18.63 |