- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $33.81 / $350.46
| Facility | | $11.98 | $33.81 | $350.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $11.41 / $20.50
| Professional | | $10.44 | $11.41 | $20.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $32.31 / $192.84
| Facility | | $10.93 | $32.31 | $192.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $11.98 / $29.18
| Professional | | $7.19 | $11.98 | $29.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $11.26 / $15.32
| Professional | | $11.26 | $11.26 | $15.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $17.82 / $40.96
| Facility | | $8.38 | $17.82 | $40.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.25 / $20.34
| Professional | | $7.29 | $13.25 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.89 / $3,472.00 / $9,239.00
| Facility | | $32.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $16.60 / $44.59
| Professional | | $11.98 | $16.60 | $44.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.10 / $14.65 / $15.68
| Facility | | $14.10 | $14.65 | $15.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $192.84 / $192.84
| Facility | | $32.31 | $192.84 | $192.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.03 / $25.29
| Professional | | $5.75 | $8.03 | $25.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $9.25 / $22.83
| Professional | | $5.75 | $9.25 | $22.83 |