- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.68 / $50.26 / $73.84
| Facility | | $13.68 | $50.26 | $73.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $12.89 / $14.36
| Professional | | $11.82 | $12.89 | $14.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.34 / $88.76 / $8,639.91
| Facility | | $68.34 | $88.76 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.17 / $13.17 / $13.17
| Professional | | $13.17 | $13.17 | $13.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.10 / $21.96 / $49.41
| Facility | | $11.10 | $21.96 | $49.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $19.41 / $25.32
| Professional | | $9.01 | $19.41 | $25.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $9.97 / $22.87
| Professional | | $7.77 | $9.97 | $22.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.37 / $35.90 / $66.00
| Facility | | $23.37 | $35.90 | $66.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $43.91 / $73.84
| Facility | | $13.67 | $43.91 | $73.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.16 / $13.68 / $69.76
| Professional | | $12.16 | $13.68 | $69.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.31 / $24.56 / $56.50
| Facility | | $11.31 | $24.56 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.01 / $19.13 / $24.54
| Professional | | $9.01 | $19.13 | $24.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $16.89 / $18.39
| Facility | | $16.89 | $16.89 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.86 / $16.89 / $18.39
| Professional | | $14.86 | $16.89 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $10.13 / $29.39
| Professional | | $7.09 | $10.13 | $29.39 |