- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.05 / $35.65 / $92.75
| Facility | | $10.05 | $35.65 | $92.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $10.53 / $21.44
| Professional | | $8.47 | $10.53 | $21.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.07 / $57.23 / $8,639.91
| Facility | | $44.07 | $57.23 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $9.22 / $9.22
| Professional | | $9.22 | $9.22 | $9.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.77 / $15.73 / $39.11
| Facility | | $7.77 | $15.73 | $39.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $20.73
| Professional | | $7.46 | $13.63 | $20.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.44 / $8.11 / $16.00
| Professional | | $5.44 | $8.11 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.66 / $31.76 / $49.83
| Facility | | $18.66 | $31.76 | $49.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $8.50 / $8.50
| Professional | | $7.09 | $8.50 | $8.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $35.18 / $92.75
| Facility | | $11.06 | $35.18 | $92.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $10.56 / $48.82
| Professional | | $8.51 | $10.56 | $48.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.91 / $17.97 / $39.11
| Facility | | $7.91 | $17.97 | $39.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $20.73
| Professional | | $7.46 | $13.63 | $20.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $11.82 / $11.82
| Facility | | $11.82 | $11.82 | $11.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.40 / $11.82 / $12.44
| Professional | | $10.40 | $11.82 | $12.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.09 / $20.09
| Professional | | $5.13 | $7.09 | $20.09 |