- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.26 / $51.20 / $79.56
| Facility | | $11.26 | $51.20 | $79.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $11.47 / $12.01
| Professional | | $10.47 | $11.47 | $12.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.83 / $86.79 / $8,639.91
| Facility | | $66.83 | $86.79 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $10.34 / $10.34
| Professional | | $10.34 | $10.34 | $10.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $17.64 / $43.46
| Facility | | $8.71 | $17.64 | $43.46 |
- 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
- $5.25 / $7.82 / $17.94
| Professional | | $5.25 | $7.82 | $17.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.01 / $37.10 / $120.70
| Facility | | $23.01 | $37.10 | $120.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $10.23 / $12.50
| Professional | | $7.95 | $10.23 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $36.03 / $86.11
| Facility | | $12.39 | $36.03 | $86.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $11.56 / $54.72
| Professional | | $9.53 | $11.56 | $54.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $20.13 / $43.46
| Facility | | $8.86 | $20.13 | $43.46 |
- 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
- $13.25 / $13.25 / $13.25
| Facility | | $13.25 | $13.25 | $13.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $13.25 / $18.87
| Professional | | $11.66 | $13.25 | $18.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.11 / $11.11 / $22.21
| Facility | | $11.11 | $11.11 | $22.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $8.71 / $24.25
| Professional | | $5.96 | $8.71 | $24.25 |