- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $25.12 / $41.69
| Facility | | $10.23 | $25.12 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $43.65
| Professional | | $6.03 | $8.91 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $14.45 / $89.13
| Facility | | $9.33 | $14.45 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.23 / $21.38
| Professional | | $5.25 | $10.23 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $25.12 / $38.90
| Facility | | $19.95 | $25.12 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $12.59
| Professional | | $9.55 | $9.55 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $16.22 / $38.90
| Facility | | $7.94 | $16.22 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.23 / $16.98
| Professional | | $7.41 | $10.23 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $3,630.78 / $9,772.37
| Facility | | $8.51 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $16.98
| Professional | | $14.45 | $14.45 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $29.51
| Professional | | $10.23 | $10.23 | $29.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $21.38 / $41.69
| Facility | | $12.02 | $21.38 | $41.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $14.45 / $89.13
| Facility | | $9.33 | $14.45 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.23 / $21.38
| Professional | | $5.25 | $10.23 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $10.23 / $16.60
| Facility | | $5.89 | $10.23 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.13 / $23.44
| Professional | | $5.01 | $8.13 | $23.44 |