- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.82 / $38.07 / $366.85
| Facility | | $10.82 | $38.07 | $366.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $11.57 / $11.96
| Professional | | $10.42 | $11.57 | $11.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.34 / $87.46 / $8,639.91
| Facility | | $67.34 | $87.46 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.42 / $10.42 / $10.42
| Professional | | $10.42 | $10.42 | $10.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $17.78 / $44.55
| Facility | | $8.77 | $17.78 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $15.28 / $23.27
| Professional | | $8.39 | $15.28 | $23.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $9.52 / $18.09
| Professional | | $6.15 | $9.52 | $18.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $113.88 / $113.88 / $121.63
| Facility | | $113.88 | $113.88 | $121.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.36 / $36.57 / $59.62
| Facility | | $11.36 | $36.57 | $59.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $11.66 / $55.18
| Professional | | $10.02 | $11.66 | $55.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $20.30 / $44.55
| Facility | | $8.94 | $20.30 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $15.28 / $23.27
| Professional | | $8.39 | $15.28 | $23.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $13.36 / $13.36
| Facility | | $13.36 | $13.36 | $13.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $13.36 / $19.01
| Professional | | $11.76 | $13.36 | $19.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.84 / $7.84 / $7.84
| Facility | | $7.84 | $7.84 | $7.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $8.77 / $24.45
| Professional | | $6.01 | $8.77 | $24.45 |