- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.87 / $36.49 / $56.12
| Facility | | $10.87 | $36.49 | $56.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $10.86 / $13.42
| Professional | | $9.86 | $10.86 | $13.42 |
- 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
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.82 / $17.44 / $44.55
| Facility | | $8.82 | $17.44 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $15.28 / $21.16
| Professional | | $7.46 | $15.28 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $8.11 / $18.17
| Professional | | $6.17 | $8.11 | $18.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $10.50 / $10.50
| Professional | | $10.50 | $10.50 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $36.49 / $56.12
| Facility | | $11.41 | $36.49 | $56.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $10.87 / $55.42
| Professional | | $9.66 | $10.87 | $55.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.98 / $18.22 / $44.55
| Facility | | $8.98 | $18.22 | $44.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $15.28 / $21.16
| Professional | | $7.46 | $15.28 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.42 / $13.42 / $16.37
| Facility | | $13.42 | $13.42 | $16.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.81 / $13.42 / $16.37
| Professional | | $11.81 | $13.42 | $16.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $6.71 / $8.23
| Facility | | $5.37 | $6.71 | $8.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.21 / $22.81
| Professional | | $6.04 | $8.21 | $22.81 |