- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $45.54 / $67.59
| Facility | | $12.39 | $45.54 | $67.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $13.65 / $26.48
| Professional | | $12.39 | $13.65 | $26.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.19 / $100.24 / $8,639.91
| Facility | | $77.19 | $100.24 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.93 / $11.93 / $11.93
| Professional | | $11.93 | $11.93 | $11.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $20.38 / $51.07
| Facility | | $10.06 | $20.38 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $17.35 / $26.66
| Professional | | $9.63 | $17.35 | $26.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $12.24 / $20.72
| Professional | | $7.04 | $12.24 | $20.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.39 / $38.63 / $53.85
| Facility | | $21.39 | $38.63 | $53.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $43.45 / $91.80
| Facility | | $13.01 | $43.45 | $91.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $13.33 / $63.19
| Professional | | $11.02 | $13.33 | $63.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.25 / $23.25 / $51.07
| Facility | | $10.25 | $23.25 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $17.35 / $26.66
| Professional | | $9.63 | $17.35 | $26.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $15.30 / $15.30
| Facility | | $15.30 | $15.30 | $15.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.46 / $15.30 / $21.78
| Professional | | $13.46 | $15.30 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.78 / $28.00
| Professional | | $6.43 | $9.78 | $28.00 |