- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $38.29 / $219.42
| Facility | | $10.42 | $38.29 | $219.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $11.49 / $23.34
| Professional | | $10.17 | $11.49 | $23.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.90 / $84.28 / $8,639.91
| Facility | | $64.90 | $84.28 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $10.03 / $10.03
| Professional | | $10.03 | $10.03 | $10.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.14 / $42.38
| Facility | | $8.46 | $17.14 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $8.11 / $17.43
| Professional | | $5.92 | $8.11 | $17.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.20 / $68.20 / $78.23
| Facility | | $68.20 | $68.20 | $78.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $36.54 / $117.95
| Facility | | $10.94 | $36.54 | $117.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $11.66 / $53.15
| Professional | | $9.27 | $11.66 | $53.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $19.55 / $42.38
| Facility | | $8.61 | $19.55 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $12.87
| Facility | | $12.87 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $12.87 / $18.32
| Professional | | $11.33 | $12.87 | $18.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.89 / $22.55
| Professional | | $5.41 | $7.89 | $22.55 |