- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $35.86 / $55.16
| Facility | | $10.68 | $35.86 | $55.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $10.68 / $18.11
| Professional | | $6.99 | $10.68 | $18.11 |
- 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
- $10.29 / $10.29 / $10.29
| Professional | | $10.29 | $10.29 | $10.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.67 / $17.55 / $43.46
| Facility | | $8.67 | $17.55 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $15.28 / $23.27
| Professional | | $8.23 | $15.28 | $23.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.07 / $8.11 / $17.86
| Professional | | $6.07 | $8.11 | $17.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.21 / $35.86 / $55.16
| Facility | | $11.21 | $35.86 | $55.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.89 / $11.81 / $54.47
| Professional | | $9.89 | $11.81 | $54.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.83 / $20.03 / $43.46
| Facility | | $8.83 | $20.03 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $15.28 / $23.27
| Professional | | $8.23 | $15.28 | $23.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.19 / $13.19 / $13.19
| Facility | | $13.19 | $13.19 | $13.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $13.19 / $18.78
| Professional | | $11.61 | $13.19 | $18.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $8.09 / $23.10
| Professional | | $5.54 | $8.09 | $23.10 |