- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $30.20 / $52.48
| Facility | | $10.00 | $30.20 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $51.29
| Professional | | $10.00 | $12.88 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $75.86
| Facility | | $11.75 | $18.20 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.22 / $33.88
| Professional | | $9.55 | $16.22 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $32.36 / $47.86
| Facility | | $25.70 | $32.36 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $15.14 / $15.85
| Professional | | $14.79 | $15.14 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $20.89 / $46.77
| Facility | | $11.22 | $20.89 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $19.50 / $23.99
| Professional | | $9.12 | $19.50 | $23.99 |
- 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
- $23.44 / $23.44 / $27.54
| Professional | | $23.44 | $23.44 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $37.15
| Professional | | $16.22 | $16.22 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $18.20 / $75.86
| Facility | | $11.75 | $18.20 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.22 / $33.88
| Professional | | $9.55 | $16.22 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $16.22 / $19.50
| Facility | | $7.94 | $16.22 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $14.45 / $32.36
| Professional | | $7.76 | $14.45 | $32.36 |