- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $37.15 / $53.70
| Facility | | $10.00 | $37.15 | $53.70 |
- 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
- $12.02 / $18.62 / $77.62
| Facility | | $12.02 | $18.62 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.60 / $33.88
| Professional | | $9.55 | $16.60 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $33.11 / $47.86
| Facility | | $26.30 | $33.11 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $15.49 / $16.22
| Professional | | $14.79 | $15.49 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $21.38 / $46.77
| Facility | | $11.48 | $21.38 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $19.95 / $24.55
| Professional | | $9.12 | $19.95 | $24.55 |
- 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
- $23.99 / $23.99 / $28.18
| Professional | | $23.99 | $23.99 | $28.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $16.60 / $38.02
| Professional | | $16.60 | $16.60 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $18.62 / $77.62
| Facility | | $12.02 | $18.62 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $16.60 / $33.88
| Professional | | $9.55 | $16.60 | $33.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $16.22 / $19.50
| Facility | | $8.13 | $16.22 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $14.79 / $33.11
| Professional | | $7.94 | $14.79 | $33.11 |