- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $26.30 / $44.67
| Facility | | $13.49 | $26.30 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $12.02 / $21.88
| Professional | | $3.98 | $12.02 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $15.14 / $38.90
| Facility | | $15.14 | $15.14 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $6.46 / $21.88
| Professional | | $6.31 | $6.46 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $15.14 / $15.14
| Facility | | $8.91 | $15.14 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $15.14 / $15.14
| Professional | | $10.96 | $15.14 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $32.36 / $63.10
| Facility | | $10.47 | $32.36 | $63.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $19.50 / $87.10
| Professional | | $8.91 | $19.50 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $15.14 / $33.88
| Facility | | $6.46 | $15.14 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.47 / $28.84
| Professional | | $7.08 | $10.47 | $28.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.88 / $15.85
| Professional | | $8.71 | $12.88 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $28.18 / $50,118.72
| Facility | | $11.48 | $28.18 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $13.49 / $18.20
| Facility | | $8.91 | $13.49 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.13 / $22.39
| Professional | | $5.25 | $8.13 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $17.38 / $34.67
| Facility | | $7.94 | $17.38 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $15.14 / $37.15
| Professional | | $8.91 | $15.14 | $37.15 |