- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $38.18 / $132.09
| Facility | | $8.65 | $38.18 | $132.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $13.38 / $26.61
| Professional | | $8.25 | $13.38 | $26.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.29 / $66.61 / $8,639.91
| Facility | | $51.29 | $66.61 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $7.94 / $7.94
| Professional | | $7.94 | $7.94 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.69 / $13.56 / $33.68
| Facility | | $6.69 | $13.56 | $33.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.73 / $17.77
| Professional | | $6.37 | $11.73 | $17.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $8.11 / $13.78
| Professional | | $4.68 | $8.11 | $13.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.18 / $33.60 / $35.60
| Facility | | $25.18 | $33.60 | $35.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $6.11 / $8.66
| Professional | | $6.11 | $6.11 | $8.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $29.01 / $132.09
| Facility | | $8.65 | $29.01 | $132.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $12.16 / $42.04
| Professional | | $7.87 | $12.16 | $42.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.82 / $15.46 / $33.68
| Facility | | $6.82 | $15.46 | $33.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.73 / $17.77
| Professional | | $6.37 | $11.73 | $17.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $10.18 / $10.18
| Facility | | $10.18 | $10.18 | $10.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $10.18 / $14.48
| Professional | | $8.96 | $10.18 | $14.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $6.24 / $18.63
| Professional | | $4.58 | $6.24 | $18.63 |