- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.02 / $43.70 / $67.23
| Facility | | $13.02 | $43.70 | $67.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $11.71 / $13.66
| Professional | | $9.86 | $11.71 | $13.66 |
- 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
- $12.53 / $12.53 / $12.53
| Professional | | $12.53 | $12.53 | $12.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.56 / $20.90 / $53.24
| Facility | | $10.56 | $20.90 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $17.98 / $23.77
| Professional | | $7.46 | $17.98 | $23.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $12.86 / $21.76
| Professional | | $7.39 | $12.86 | $21.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.51 / $28.37 / $32.64
| Facility | | $27.51 | $28.37 | $32.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.66 / $43.70 / $67.23
| Facility | | $13.66 | $43.70 | $67.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $12.53 / $66.37
| Professional | | $10.11 | $12.53 | $66.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $622.69 / $641.27 / $1,003.93
| Facility | | $622.69 | $641.27 | $1,003.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.76 / $21.41 / $53.24
| Facility | | $10.76 | $21.41 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $17.98 / $23.23
| Professional | | $7.46 | $17.98 | $23.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $16.07 / $16.07
| Facility | | $16.07 | $16.07 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.14 / $16.07 / $16.07
| Professional | | $14.14 | $16.07 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $9.78 / $27.32
| Professional | | $6.75 | $9.78 | $27.32 |