- 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
- $7.94 / $10.00 / $51.29
| Professional | | $7.94 | $10.00 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $79.43
| Facility | | $10.96 | $16.98 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $13.49 / $28.18
| Professional | | $8.13 | $13.49 | $28.18 |
- 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
- $12.59 / $12.59 / $14.79
| Professional | | $12.59 | $12.59 | $14.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $19.05 / $46.77
| Facility | | $9.55 | $19.05 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $16.60 / $20.42
| Professional | | $8.71 | $16.60 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $3,630.78 / $9,772.37
| Facility | | $16.60 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $19.05 / $22.39
| Professional | | $19.05 | $19.05 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $34.67
| Professional | | $13.49 | $13.49 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $16.98 / $79.43
| Facility | | $10.96 | $16.98 | $79.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $13.49 / $28.18
| Professional | | $8.13 | $13.49 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.92 / $13.49 / $19.50
| Facility | | $6.92 | $13.49 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.72 / $27.54
| Professional | | $6.46 | $10.72 | $27.54 |