- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $37.01 / $56.91
| Facility | | $11.02 | $37.01 | $56.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $11.02 / $56.21
| Professional | | $10.19 | $11.02 | $56.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $57.44 / $74.59 / $8,639.91
| Facility | | $57.44 | $74.59 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $10.62 / $10.62
| Professional | | $10.62 | $10.62 | $10.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.94 / $17.70 / $45.64
| Facility | | $8.94 | $17.70 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $15.30 / $20.16
| Professional | | $7.14 | $15.30 | $20.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $8.02 / $18.43
| Professional | | $6.26 | $8.02 | $18.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.57 / $37.01 / $56.91
| Facility | | $11.57 | $37.01 | $56.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $11.16 / $56.21
| Professional | | $10.19 | $11.16 | $56.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.11 / $18.13 / $45.64
| Facility | | $9.11 | $18.13 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $15.30 / $19.89
| Professional | | $7.14 | $15.30 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $13.61 / $13.61
| Facility | | $13.61 | $13.61 | $13.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $13.61 / $16.21
| Professional | | $11.98 | $13.61 | $16.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $8.17 / $23.68
| Professional | | $5.72 | $8.17 | $23.68 |