- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $31.62 / $151.36
| Facility | | $12.02 | $31.62 | $151.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $32.36
| Professional | | $7.94 | $10.96 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $77.62
| Facility | | $10.96 | $16.98 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.02 / $25.12
| Professional | | $5.25 | $12.02 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $29.51 / $46.77
| Facility | | $23.44 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $15.49
| Professional | | $11.22 | $11.22 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $19.05 / $46.77
| Facility | | $9.33 | $19.05 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.45 / $20.42
| Professional | | $8.71 | $14.45 | $20.42 |
- 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
- $17.38 / $17.38 / $20.42
| Professional | | $17.38 | $17.38 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $36.31
| Professional | | $12.02 | $12.02 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $42.66 / $46.77
| Facility | | $15.85 | $42.66 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $77.62
| Facility | | $10.96 | $16.98 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $12.02 / $25.12
| Professional | | $5.75 | $12.02 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $12.02 / $19.50
| Facility | | $6.92 | $12.02 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.00 / $28.84
| Professional | | $5.25 | $10.00 | $28.84 |