- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $41.69 / $70.79
| Facility | | $15.14 | $41.69 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.88 / $28.84
| Professional | | $8.91 | $12.88 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.88 / $77.62 / $5,011.87
| Facility | | $58.88 | $77.62 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $12.59
| Professional | | $12.59 | $12.59 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $24.55 / $54.95
| Facility | | $10.72 | $24.55 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $15.49 / $24.55
| Professional | | $7.41 | $15.49 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $13.49 / $23.44
| Professional | | $7.59 | $13.49 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $16.22
| Facility | | $16.22 | $16.22 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $16.22 / $28.18
| Professional | | $11.48 | $16.22 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $39.81 / $70.79
| Facility | | $15.14 | $39.81 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.13 / $51.29
| Professional | | $10.00 | $14.13 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $13.49 / $66.07
| Facility | | $13.18 | $13.49 | $66.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $13.49 / $19.05
| Professional | | $6.61 | $13.49 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $16.22 / $19.50
| Facility | | $8.32 | $16.22 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.77 / $23.99
| Professional | | $6.76 | $9.77 | $23.99 |