- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.12 / $41.31 / $67.76
| Facility | | $13.12 | $41.31 | $67.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.21 / $11.95 / $13.77
| Professional | | $11.21 | $11.95 | $13.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.48 / $86.33 / $8,639.91
| Facility | | $66.48 | $86.33 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $12.64 / $12.64
| Professional | | $12.64 | $12.64 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.65 / $21.06 / $53.24
| Facility | | $10.65 | $21.06 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $18.36 / $24.29
| Professional | | $8.23 | $18.36 | $24.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.45 / $9.56 / $21.93
| Professional | | $7.45 | $9.56 | $21.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.17 / $54.05 / $71.23
| Facility | | $32.17 | $54.05 | $71.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.77 / $40.89 / $66.91
| Facility | | $13.77 | $40.89 | $66.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $13.12 / $66.91
| Professional | | $11.66 | $13.12 | $66.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $21.57 / $53.24
| Facility | | $10.85 | $21.57 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $18.36 / $23.27
| Professional | | $8.23 | $18.36 | $23.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.20 / $16.20 / $16.20
| Facility | | $16.20 | $16.20 | $16.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.26 / $16.20 / $18.78
| Professional | | $14.26 | $16.20 | $18.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $9.72 / $28.19
| Professional | | $6.80 | $9.72 | $28.19 |