- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.92 / $33.31 / $51.25
| Facility | | $9.92 | $33.31 | $51.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $10.71 / $12.22
| Professional | | $9.68 | $10.71 | $12.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.54 / $72.12 / $8,639.91
| Facility | | $55.54 | $72.12 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $9.56 / $9.56
| Professional | | $9.56 | $9.56 | $9.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.05 / $16.30 / $40.20
| Facility | | $8.05 | $16.30 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $14.04 / $21.16
| Professional | | $7.46 | $14.04 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $9.80 / $16.59
| Professional | | $5.64 | $9.80 | $16.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.97 / $21.62 / $24.88
| Facility | | $20.97 | $21.62 | $24.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.41 / $33.31 / $52.96
| Facility | | $10.41 | $33.31 | $52.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $10.86 / $50.59
| Professional | | $8.82 | $10.86 | $50.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $1,003.93 / $1,587.01 / $1,975.06
| Facility | | $1,003.93 | $1,587.01 | $1,975.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $18.22 / $40.20
| Facility | | $8.19 | $18.22 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $14.04 / $21.16
| Professional | | $7.46 | $14.04 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $12.25
| Facility | | $12.25 | $12.25 | $12.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $12.25 / $15.68
| Professional | | $10.78 | $12.25 | $15.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.96 / $22.42
| Professional | | $5.51 | $7.96 | $22.42 |