- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $50.66 / $247.20
| Facility | | $10.29 | $50.66 | $247.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $10.84 / $15.99
| Professional | | $9.57 | $10.84 | $15.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.06 / $79.30 / $8,639.91
| Facility | | $61.06 | $79.30 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $9.44 / $9.44
| Professional | | $9.44 | $9.44 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.96 / $16.12 / $40.20
| Facility | | $7.96 | $16.12 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $13.77 / $21.16
| Professional | | $7.61 | $13.77 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.14 / $16.39
| Professional | | $5.57 | $7.14 | $16.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $139.63 / $143.62 / $274.37
| Facility | | $139.63 | $143.62 | $274.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.37 / $41.79 / $245.09
| Facility | | $12.37 | $41.79 | $245.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $14.48 / $50.01
| Professional | | $9.44 | $14.48 | $50.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $18.39 / $40.20
| Facility | | $8.11 | $18.39 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $13.77 / $21.16
| Professional | | $7.61 | $13.77 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.11 / $12.11 / $12.11
| Facility | | $12.11 | $12.11 | $12.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $12.11 / $17.23
| Professional | | $10.66 | $12.11 | $17.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.45 / $7.75 / $21.22
| Professional | | $5.45 | $7.75 | $21.22 |