- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $25.12 / $46.77
| Facility | | $7.94 | $25.12 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $11.48 / $38.90
| Professional | | $7.94 | $11.48 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $20.42 / $70.79
| Facility | | $13.18 | $20.42 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $13.49 / $30.20
| Professional | | $6.03 | $13.49 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.18 / $35.48 / $50.12
| Facility | | $28.18 | $35.48 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $13.49 / $13.49
| Professional | | $11.22 | $13.49 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $22.91 / $56.23
| Facility | | $9.55 | $22.91 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $17.78 / $24.55
| Professional | | $9.55 | $17.78 | $24.55 |
- 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
- $20.89 / $20.89 / $24.55
| Professional | | $20.89 | $20.89 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $30.90
| Professional | | $14.45 | $14.45 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $20.42 / $70.79
| Facility | | $13.18 | $20.42 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $13.80 / $30.20
| Professional | | $6.92 | $13.80 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $14.45 / $23.44
| Facility | | $7.24 | $14.45 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.71 / $27.54
| Professional | | $5.25 | $8.71 | $27.54 |