- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $38.77 / $61.94
| Facility | | $11.47 | $38.77 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $17.70 / $20.64
| Professional | | $10.19 | $17.70 | $20.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.43 / $68.09 / $8,639.91
| Facility | | $52.43 | $68.09 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.04 / $11.04 / $11.04
| Professional | | $11.04 | $11.04 | $11.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $18.39 / $46.72
| Facility | | $9.31 | $18.39 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $16.07 / $21.19
| Professional | | $6.52 | $16.07 | $21.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $11.33 / $19.17
| Professional | | $6.51 | $11.33 | $19.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.30 / $60.40 / $115.28
| Facility | | $21.30 | $60.40 | $115.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $9.25 / $12.04
| Professional | | $8.50 | $9.25 | $12.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.04 / $38.77 / $71.93
| Facility | | $12.04 | $38.77 | $71.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $11.61 / $58.48
| Professional | | $9.31 | $11.61 | $58.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.48 / $18.85 / $46.72
| Facility | | $9.48 | $18.85 | $46.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $16.07 / $20.65
| Professional | | $6.52 | $16.07 | $20.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.16 / $14.16 / $14.16
| Facility | | $14.16 | $14.16 | $14.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $14.16 / $14.81
| Professional | | $12.46 | $14.16 | $14.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $8.50 / $24.64
| Professional | | $5.95 | $8.50 | $24.64 |