- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $30.20 / $50.12
| Facility | | $15.49 | $30.20 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.02 / $51.29
| Professional | | $10.00 | $12.02 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $17.78 / $89.13
| Facility | | $11.48 | $17.78 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.49 / $32.36
| Professional | | $9.33 | $15.49 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $30.90 / $47.86
| Facility | | $24.55 | $30.90 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $15.14
| Professional | | $14.79 | $14.79 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $20.42 / $46.77
| Facility | | $10.96 | $20.42 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $19.05 / $23.99
| Professional | | $9.12 | $19.05 | $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
- $22.39 / $22.39 / $26.30
| Professional | | $22.39 | $22.39 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $35.48
| Professional | | $15.49 | $15.49 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $12.88
| Facility | | $12.88 | $12.88 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $17.78 / $89.13
| Facility | | $11.48 | $17.78 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.49 / $32.36
| Professional | | $9.33 | $15.49 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $15.49 / $19.50
| Facility | | $7.76 | $15.49 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $14.13 / $30.90
| Professional | | $7.41 | $14.13 | $30.90 |