- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $36.31 / $95.50
| Facility | | $15.14 | $36.31 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.88 / $43.65
| Professional | | $8.91 | $12.88 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $87.10
| Facility | | $13.80 | $21.38 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $14.13 / $31.62
| Professional | | $6.46 | $14.13 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $37.15 / $53.70
| Facility | | $29.51 | $37.15 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $14.45 / $14.79
| Professional | | $12.59 | $14.45 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $23.99 / $58.88
| Facility | | $10.72 | $23.99 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $18.62 / $25.70
| Professional | | $10.72 | $18.62 | $25.70 |
- 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
- $21.88 / $21.88 / $25.70
| Professional | | $21.88 | $21.88 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $33.88
| Professional | | $15.14 | $15.14 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $17.78 / $91.20
| Facility | | $12.59 | $17.78 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $87.10
| Facility | | $13.80 | $21.38 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $15.14 / $31.62
| Professional | | $7.24 | $15.14 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $15.14 / $25.12
| Facility | | $8.13 | $15.14 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.12 / $30.20
| Professional | | $5.25 | $9.12 | $30.20 |