- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $30.20 / $48.98
| Facility | | $10.00 | $30.20 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.96 / $51.29
| Professional | | $8.91 | $10.96 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $147.91
| Facility | | $10.96 | $16.98 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.45 / $30.20
| Professional | | $8.71 | $14.45 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $29.51 / $46.77
| Facility | | $23.44 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $14.79
| Professional | | $13.49 | $13.49 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $19.50 / $46.77
| Facility | | $10.00 | $19.50 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $17.78 / $22.39
| Professional | | $8.71 | $17.78 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $3,630.78 / $9,772.37
| Facility | | $21.38 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.89 / $20.89 / $24.55
| Professional | | $20.89 | $20.89 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $34.67
| Professional | | $14.45 | $14.45 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $147.91
| Facility | | $10.96 | $16.98 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.45 / $30.20
| Professional | | $8.71 | $14.45 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $14.45 / $19.50
| Facility | | $7.24 | $14.45 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $12.88 / $28.84
| Professional | | $6.92 | $12.88 | $28.84 |