- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $35.59 / $54.74
| Facility | | $10.60 | $35.59 | $54.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $10.73 / $54.06
| Professional | | $10.34 | $10.73 | $54.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.57 / $66.95 / $8,639.91
| Facility | | $51.57 | $66.95 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $10.21 / $10.21
| Professional | | $10.21 | $10.21 | $10.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $17.43 / $43.46
| Facility | | $9.15 | $17.43 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $14.92 / $24.97
| Professional | | $8.85 | $14.92 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.02 / $7.72 / $17.72
| Professional | | $6.02 | $7.72 | $17.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.13 / $35.59 / $54.74
| Facility | | $11.13 | $35.59 | $54.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.21 / $11.13 / $54.06
| Professional | | $10.21 | $11.13 | $54.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.15 / $20.03 / $43.46
| Facility | | $9.15 | $20.03 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.85 / $14.92 / $24.97
| Professional | | $8.85 | $14.92 | $24.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $13.09 / $13.09
| Facility | | $13.09 | $13.09 | $13.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.52 / $13.09 / $14.55
| Professional | | $11.52 | $13.09 | $14.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $7.85 / $22.78
| Professional | | $5.89 | $7.85 | $22.78 |