- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.83 / $48.32 / $394.35
| Facility | | $11.83 | $48.32 | $394.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $11.54 / $31.71
| Professional | | $9.80 | $11.54 | $31.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.19 / $71.67 / $8,639.91
| Facility | | $55.19 | $71.67 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.40 / $11.40 / $11.40
| Professional | | $11.40 | $11.40 | $11.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $19.00 / $48.90
| Facility | | $9.60 | $19.00 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $16.45 / $21.71
| Professional | | $6.83 | $16.45 | $21.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $11.69 / $19.78
| Professional | | $6.72 | $11.69 | $19.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.75 / $34.43 / $80.48
| Facility | | $24.75 | $34.43 | $80.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.83 / $39.99 / $100.30
| Facility | | $11.83 | $39.99 | $100.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $12.42 / $60.34
| Professional | | $9.80 | $12.42 | $60.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $19.46 / $48.90
| Facility | | $9.78 | $19.46 | $48.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $16.45 / $21.17
| Professional | | $6.83 | $16.45 | $21.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.61 / $14.61 / $14.61
| Facility | | $14.61 | $14.61 | $14.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $14.61 / $15.58
| Professional | | $12.86 | $14.61 | $15.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.42 / $6.42 / $6.42
| Facility | | $6.42 | $6.42 | $6.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $9.06 / $25.42
| Professional | | $6.42 | $9.06 | $25.42 |