- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.38 / $52.99 / $267.70
| Facility | | $14.38 | $52.99 | $267.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.49 / $11.03 / $22.06
| Professional | | $9.49 | $11.03 | $22.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.82 / $80.28 / $8,639.91
| Facility | | $61.82 | $80.28 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $9.56 / $9.56
| Professional | | $9.56 | $9.56 | $9.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.05 / $16.30 / $40.20
| Facility | | $8.05 | $16.30 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $14.04 / $21.58
| Professional | | $7.77 | $14.04 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $7.23 / $16.59
| Professional | | $5.64 | $7.23 | $16.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.95 / $30.45 / $81.87
| Facility | | $16.95 | $30.45 | $81.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $9.68 / $12.00
| Professional | | $7.35 | $9.68 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.19 / $50.59 / $267.70
| Facility | | $14.19 | $50.59 | $267.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $10.95 / $34.77
| Professional | | $8.82 | $10.95 | $34.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $18.61 / $40.20
| Facility | | $8.19 | $18.61 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $14.04 / $21.58
| Professional | | $7.77 | $14.04 | $21.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $12.25
| Facility | | $12.25 | $12.25 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $12.25 / $17.46
| Professional | | $10.78 | $12.25 | $17.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.52 / $21.48
| Professional | | $5.25 | $7.52 | $21.48 |