- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.06 / $54.42 / $125.60
| Facility | | $11.06 | $54.42 | $125.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $11.70 / $23.60
| Professional | | $10.54 | $11.70 | $23.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.59 / $85.17 / $8,639.91
| Facility | | $65.59 | $85.17 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.15 / $10.15 / $10.15
| Professional | | $10.15 | $10.15 | $10.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.55 / $17.32 / $43.46
| Facility | | $8.55 | $17.32 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $14.87 / $22.85
| Professional | | $8.23 | $14.87 | $22.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $7.68 / $17.62
| Professional | | $5.98 | $7.68 | $17.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.97 / $42.22 / $112.00
| Facility | | $21.97 | $42.22 | $112.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.81 / $10.16 / $12.50
| Professional | | $7.81 | $10.16 | $12.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $48.47 / $122.50
| Facility | | $13.40 | $48.47 | $122.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $11.78 / $53.73
| Professional | | $10.06 | $11.78 | $53.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $19.77 / $43.46
| Facility | | $8.71 | $19.77 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $14.87 / $22.85
| Professional | | $8.23 | $14.87 | $22.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $13.01 / $13.01
| Facility | | $13.01 | $13.01 | $13.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.45 / $13.01 / $18.51
| Professional | | $11.45 | $13.01 | $18.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.46 / $8.07 / $22.79
| Professional | | $5.46 | $8.07 | $22.79 |