- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.96 / $34.40 / $97.63
| Facility | | $11.96 | $34.40 | $97.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.79 / $11.96 / $14.32
| Professional | | $10.79 | $11.96 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.46 / $28.76 / $97.75
| Facility | | $11.46 | $28.76 | $97.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $12.56 / $30.59
| Professional | | $6.03 | $12.56 | $30.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.12 / $35.22 / $61.58
| Facility | | $22.12 | $35.22 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $11.81 / $16.05
| Professional | | $11.81 | $11.81 | $16.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $18.69 / $42.94
| Facility | | $8.77 | $18.69 | $42.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $13.89 / $21.24
| Professional | | $7.49 | $13.89 | $21.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $21.41
| Professional | | $18.20 | $18.20 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.56 / $17.41 / $46.77
| Professional | | $12.56 | $17.41 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.37 / $16.37 / $16.37
| Facility | | $16.37 | $16.37 | $16.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $97.75 / $97.75
| Facility | | $28.76 | $97.75 | $97.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.54 / $26.52
| Professional | | $5.25 | $7.54 | $26.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.54 / $23.94
| Professional | | $5.01 | $7.54 | $23.94 |