- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $27.54 / $44.67
| Facility | | $10.00 | $27.54 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $47.86
| Professional | | $7.08 | $10.00 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $60.26
| Facility | | $9.77 | $15.14 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $10.72 / $22.39
| Professional | | $4.47 | $10.72 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $25.70 / $40.74
| Facility | | $20.42 | $25.70 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $13.49
| Professional | | $10.00 | $10.00 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $16.98 / $40.74
| Facility | | $8.32 | $16.98 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $18.20
| Professional | | $7.76 | $12.88 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $3,630.78 / $9,772.37
| Facility | | $10.47 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $18.20
| Professional | | $15.49 | $15.49 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $32.36
| Professional | | $10.72 | $10.72 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $60.26
| Facility | | $9.77 | $15.14 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $10.72 / $22.39
| Professional | | $5.13 | $10.72 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $10.72 / $17.38
| Facility | | $6.03 | $10.72 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $8.91 / $25.12
| Professional | | $3.16 | $8.91 | $25.12 |