- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $26.30 / $91.20
| Facility | | $8.91 | $26.30 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $7.94 / $15.14
| Professional | | $6.03 | $7.94 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $12.59 / $60.26
| Facility | | $8.13 | $12.59 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.91 / $18.62
| Professional | | $5.25 | $8.91 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $21.38 / $34.67
| Facility | | $17.38 | $21.38 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $8.32 / $11.48
| Professional | | $8.32 | $8.32 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $14.13 / $34.67
| Facility | | $6.92 | $14.13 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.72 / $14.79
| Professional | | $6.46 | $10.72 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $52.48 / $7,079.46
| Facility | | $10.72 | $52.48 | $7,079.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $11.75 / $16.22
| Professional | | $9.33 | $11.75 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $26.92
| Professional | | $8.91 | $8.91 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $11.48 / $37.15
| Facility | | $9.33 | $11.48 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $12.59 / $60.26
| Facility | | $8.13 | $12.59 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.91 / $18.62
| Professional | | $5.25 | $8.91 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $8.91 / $14.45
| Facility | | $5.13 | $8.91 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $7.41 / $21.38
| Professional | | $4.37 | $7.41 | $21.38 |