- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $37.15 / $112.20
| Facility | | $12.88 | $37.15 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $43.65
| Professional | | $7.94 | $10.96 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $181.97
| Facility | | $11.75 | $18.20 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $12.59 / $26.92
| Professional | | $5.37 | $12.59 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.12 / $31.62 / $45.71
| Facility | | $25.12 | $31.62 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $12.59
| Professional | | $12.02 | $12.02 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $20.42 / $50.12
| Facility | | $10.00 | $20.42 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.85 / $21.88
| Professional | | $9.33 | $15.85 | $21.88 |
- 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
- $18.62 / $18.62 / $21.88
| Professional | | $18.62 | $18.62 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $30.20
| Professional | | $12.88 | $12.88 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $15.14 / $389.05
| Facility | | $12.59 | $15.14 | $389.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $181.97
| Facility | | $11.75 | $18.20 | $181.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $12.88 / $26.92
| Professional | | $6.17 | $12.88 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.88 / $20.89
| Facility | | $7.41 | $12.88 | $20.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.13 / $25.70
| Professional | | $5.25 | $8.13 | $25.70 |