- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.92 / $33.31 / $51.25
| Facility | | $9.92 | $33.31 | $51.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.94 / $11.10
| Professional | | $6.49 | $10.94 | $11.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.79 / $80.23 / $8,639.91
| Facility | | $61.79 | $80.23 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $9.56 / $9.56
| Professional | | $9.56 | $9.56 | $9.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.05 / $16.30 / $40.20
| Facility | | $8.05 | $16.30 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $14.04 / $21.58
| Professional | | $7.61 | $14.04 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $8.11 / $16.59
| Professional | | $5.64 | $8.11 | $16.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $7.35 / $12.00
| Professional | | $7.35 | $7.35 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $33.31 / $51.25
| Facility | | $10.41 | $33.31 | $51.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $10.97 / $50.59
| Professional | | $8.82 | $10.97 | $50.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $18.61 / $40.20
| Facility | | $8.19 | $18.61 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $14.04 / $21.58
| Professional | | $7.61 | $14.04 | $21.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $12.25
| Facility | | $12.25 | $12.25 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $12.25 / $17.44
| Professional | | $10.78 | $12.25 | $17.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $14.70 / $14.70
| Facility | | $11.03 | $14.70 | $14.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.15 / $7.51 / $22.42
| Professional | | $5.15 | $7.51 | $22.42 |