- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.67 / $39.18 / $60.25
| Facility | | $11.67 | $39.18 | $60.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.38 / $12.56 / $13.08
| Professional | | $11.38 | $12.56 | $13.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.70 / $94.41 / $8,639.91
| Facility | | $72.70 | $94.41 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.24 / $11.24 / $11.24
| Professional | | $11.24 | $11.24 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.47 / $19.20 / $47.81
| Facility | | $9.47 | $19.20 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.93 / $25.39
| Professional | | $9.01 | $16.93 | $25.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $8.50 / $19.51
| Professional | | $6.63 | $8.50 | $19.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $39.18 / $60.25
| Facility | | $12.25 | $39.18 | $60.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.38 / $12.90 / $59.51
| Professional | | $10.38 | $12.90 | $59.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.65 / $21.90 / $47.81
| Facility | | $9.65 | $21.90 | $47.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $16.93 / $25.39
| Professional | | $9.01 | $16.93 | $25.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.41 / $14.41 / $14.41
| Facility | | $14.41 | $14.41 | $14.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.68 / $14.41 / $20.52
| Professional | | $12.68 | $14.41 | $20.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.97 / $17.29 / $17.29
| Facility | | $12.97 | $17.29 | $17.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $8.84 / $25.07
| Professional | | $6.05 | $8.84 | $25.07 |