- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $35.68 / $54.85
| Facility | | $10.63 | $35.68 | $54.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $11.69 / $11.91
| Professional | | $10.63 | $11.69 | $11.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.18 / $85.94 / $8,639.91
| Facility | | $66.18 | $85.94 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $10.23
| Professional | | $10.23 | $10.23 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.63 / $17.48 / $43.46
| Facility | | $8.63 | $17.48 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $15.28 / $22.85
| Professional | | $8.23 | $15.28 | $22.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.11 / $17.76
| Professional | | $6.04 | $8.11 | $17.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.84 / $19.84 / $69.12
| Facility | | $19.84 | $19.84 | $69.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $35.68 / $54.85
| Facility | | $11.15 | $35.68 | $54.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $11.73 / $54.19
| Professional | | $9.44 | $11.73 | $54.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.78 / $19.93 / $43.46
| Facility | | $8.78 | $19.93 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $15.28 / $22.85
| Professional | | $8.23 | $15.28 | $22.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $13.12 / $13.12
| Facility | | $13.12 | $13.12 | $13.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $13.12 / $18.67
| Professional | | $11.55 | $13.12 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $8.40 / $24.01
| Professional | | $5.51 | $8.40 | $24.01 |