- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $32.36 / $724.44
| Facility | | $12.02 | $32.36 | $724.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $53.70
| Professional | | $7.94 | $10.96 | $53.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $85.11
| Facility | | $10.96 | $16.98 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $12.02 / $25.70
| Professional | | $5.25 | $12.02 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.99 / $30.20 / $47.86
| Facility | | $23.99 | $30.20 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $15.49
| Professional | | $11.48 | $11.48 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $19.50 / $46.77
| Facility | | $9.55 | $19.50 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $14.79 / $20.42
| Professional | | $8.91 | $14.79 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $3,630.78 / $9,772.37
| Facility | | $17.38 | $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 / $37.15
| Professional | | $12.02 | $12.02 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $63.10 / $67.61
| Facility | | $12.88 | $63.10 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $85.11
| Facility | | $10.96 | $16.98 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $12.02 / $25.70
| Professional | | $5.75 | $12.02 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $12.02 / $19.95
| Facility | | $6.92 | $12.02 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.23 / $28.84
| Professional | | $5.25 | $10.23 | $28.84 |