- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $50.40 / $199.02
| Facility | | $10.24 | $50.40 | $199.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $9.88 / $29.43
| Professional | | $6.27 | $9.88 | $29.43 |
- 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
- $29.43 / $29.43 / $29.43
| Professional | | $29.43 | $29.43 | $29.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $46.36 / $109.59
| Facility | | $8.42 | $46.36 | $109.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $17.73 / $47.36
| Professional | | $17.73 | $17.73 | $47.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $22.26 / $51.09
| Professional | | $7.30 | $22.26 | $51.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.92 / $67.12 / $174.38
| Facility | | $17.92 | $67.12 | $174.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $50.40 / $209.25
| Facility | | $10.24 | $50.40 | $209.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $10.50 / $155.83
| Professional | | $9.52 | $10.50 | $155.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.70 / $46.36 / $124.96
| Facility | | $12.70 | $46.36 | $124.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $42.46 / $54.21
| Professional | | $17.73 | $42.46 | $54.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $37.72 / $37.72
| Facility | | $13.26 | $37.72 | $37.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $37.72 / $37.72
| Professional | | $13.26 | $37.72 | $37.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $8.86 / $41.50
| Professional | | $5.05 | $8.86 | $41.50 |