- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $23.44 / $40.74
| Facility | | $7.94 | $23.44 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.08 / $15.14
| Professional | | $6.03 | $7.08 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.71 / $60.26 / $5,011.87
| Facility | | $45.71 | $60.26 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $8.51
| Professional | | $6.76 | $6.76 | $8.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $13.49 / $28.84
| Facility | | $5.75 | $13.49 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $9.55 / $15.14
| Professional | | $5.37 | $9.55 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $8.51 / $12.59
| Professional | | $4.07 | $8.51 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $8.51 / $8.51
| Facility | | $8.51 | $8.51 | $8.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $9.55 / $14.79
| Professional | | $8.32 | $9.55 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.86 / $77.62 / $77.62
| Facility | | $47.86 | $77.62 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $22.39 / $40.74
| Facility | | $9.12 | $22.39 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $31.62
| Professional | | $6.03 | $7.94 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $10.00 / $13.49
| Facility | | $8.51 | $10.00 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $12.30 / $16.98
| Professional | | $8.51 | $12.30 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $8.51 / $10.23
| Facility | | $5.75 | $8.51 | $10.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.89 / $6.31 / $14.79
| Professional | | $3.89 | $6.31 | $14.79 |