- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.98 / $36.85 / $59.29
| Facility | | $10.98 | $36.85 | $59.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $22.72 / $46.12
| Professional | | $10.98 | $22.72 | $46.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.39 / $88.81 / $8,639.91
| Facility | | $68.39 | $88.81 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.57 / $10.57 / $10.57
| Professional | | $10.57 | $10.57 | $10.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.90 / $18.05 / $44.55
| Facility | | $8.90 | $18.05 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $23.70
| Professional | | $8.53 | $15.69 | $23.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $10.84 / $18.35
| Professional | | $6.23 | $10.84 | $18.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.28 / $35.34 / $36.04
| Facility | | $27.28 | $35.34 | $36.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.52 / $34.56 / $59.85
| Facility | | $11.52 | $34.56 | $59.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.16 / $12.48 / $55.96
| Professional | | $10.16 | $12.48 | $55.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.07 / $20.59 / $44.55
| Facility | | $9.07 | $20.59 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $23.70
| Professional | | $8.53 | $15.69 | $23.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $13.55 / $13.55
| Facility | | $13.55 | $13.55 | $13.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.92 / $13.55 / $19.30
| Professional | | $11.92 | $13.55 | $19.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.20 / $16.26 / $16.26
| Facility | | $12.20 | $16.26 | $16.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $8.32 / $23.76
| Professional | | $5.69 | $8.32 | $23.76 |