- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.82 / $38.61 / $71.61
| Facility | | $13.82 | $38.61 | $71.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.08 / $13.82 / $25.95
| Professional | | $13.08 | $13.82 | $25.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.23 / $38.94 / $80.04
| Facility | | $13.23 | $38.94 | $80.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $16.85 / $41.04
| Professional | | $7.20 | $16.85 | $41.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $40.96 / $71.59
| Facility | | $25.72 | $40.96 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.84 / $15.84 / $18.55
| Professional | | $15.84 | $15.84 | $18.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $21.88 / $49.60
| Facility | | $11.77 | $21.88 | $49.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $19.41 / $25.81
| Professional | | $10.66 | $19.41 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.85 / $23.35 / $55.94
| Professional | | $16.85 | $23.35 | $55.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.43 / $19.00 / $21.14
| Facility | | $17.43 | $19.00 | $21.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.94 / $80.04 / $80.04
| Facility | | $38.94 | $80.04 | $80.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.11 / $30.63
| Professional | | $5.25 | $10.11 | $30.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.11 / $25.99
| Professional | | $5.25 | $10.11 | $25.99 |