- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.24 / $46.39 / $92.02
| Facility | | $13.24 | $46.39 | $92.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $13.24 / $67.48
| Professional | | $8.51 | $13.24 | $67.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.94 / $62.25 / $8,639.91
| Facility | | $47.94 | $62.25 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.75 / $12.75 / $12.75
| Professional | | $12.75 | $12.75 | $12.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $21.23 / $54.33
| Facility | | $10.62 | $21.23 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $16.50 / $24.29
| Professional | | $5.90 | $16.50 | $24.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $9.64 / $22.12
| Professional | | $7.52 | $9.64 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $41.96 / $87.12
| Facility | | $13.89 | $41.96 | $87.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.29 / $13.40 / $67.48
| Professional | | $10.29 | $13.40 | $67.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.62 / $21.24 / $54.33
| Facility | | $10.62 | $21.24 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $16.50 / $23.75
| Professional | | $5.90 | $16.50 | $23.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $11.60 / $16.34
| Facility | | $11.60 | $11.60 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.60 / $11.95 / $16.34
| Professional | | $11.60 | $11.95 | $16.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.53 / $6.54 / $8.17
| Facility | | $6.53 | $6.54 | $8.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.80 / $26.92
| Professional | | $6.86 | $9.80 | $26.92 |