- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.32 / $80.80 / $176.40
| Facility | | $13.32 | $80.80 | $176.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $20.48 / $32.76
| Professional | | $9.64 | $20.48 | $32.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.62 / $54.04 / $8,639.91
| Facility | | $41.62 | $54.04 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $9.40 / $9.40
| Professional | | $9.40 | $9.40 | $9.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.83 / $14.91 / $35.99
| Facility | | $7.83 | $14.91 | $35.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.71 / $14.98
| Professional | | $5.71 | $5.71 | $14.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.11 / $16.32
| Professional | | $5.54 | $7.11 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $20.42 / $46.94
| Facility | | $9.77 | $20.42 | $46.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $8.44 / $10.25
| Professional | | $7.23 | $8.44 | $10.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $50.40 / $185.25
| Facility | | $10.24 | $50.40 | $185.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $13.14 / $32.76
| Professional | | $8.68 | $13.14 | $32.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.83 / $14.91 / $40.20
| Facility | | $7.83 | $14.91 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $13.63 / $17.04
| Professional | | $5.71 | $13.63 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $13.26
| Facility | | $12.05 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.05 / $13.26
| Professional | | $10.60 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $22.05
| Professional | | $5.05 | $7.23 | $22.05 |