- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.17 / $43.96 / $56.80
| Facility | | $10.17 | $43.96 | $56.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.92 / $10.79 / $11.25
| Professional | | $9.92 | $10.79 | $11.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.34 / $82.25 / $8,639.91
| Facility | | $63.34 | $82.25 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $9.80 / $9.80
| Professional | | $9.80 | $9.80 | $9.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $16.72 / $41.29
| Facility | | $8.25 | $16.72 | $41.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.92 / $14.46 / $22.00
| Professional | | $7.92 | $14.46 | $22.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.11 / $17.01
| Professional | | $5.78 | $8.11 | $17.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.78 / $40.78 / $139.91
| Facility | | $40.78 | $40.78 | $139.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.54 / $7.54 / $7.54
| Professional | | $7.54 | $7.54 | $7.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $35.67 / $56.80
| Facility | | $10.68 | $35.67 | $56.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.72 / $10.87 / $51.87
| Professional | | $9.72 | $10.87 | $51.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $19.09 / $41.29
| Facility | | $8.40 | $19.09 | $41.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.92 / $14.46 / $22.00
| Professional | | $7.92 | $14.46 | $22.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.56 / $12.56 / $12.56
| Facility | | $12.56 | $12.56 | $12.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.05 / $12.56 / $17.88
| Professional | | $11.05 | $12.56 | $17.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $8.25 / $22.01
| Professional | | $5.28 | $8.25 | $22.01 |