- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $30.20 / $81.28
| Facility | | $10.23 | $30.20 | $81.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.91 / $46.77
| Professional | | $6.76 | $8.91 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $14.45 / $77.62
| Facility | | $9.33 | $14.45 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $10.23 / $21.88
| Professional | | $6.17 | $10.23 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.95 / $25.12 / $39.81
| Facility | | $19.95 | $25.12 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $9.77 / $13.18
| Professional | | $9.77 | $9.77 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $16.60 / $39.81
| Facility | | $8.13 | $16.60 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $12.30 / $17.78
| Professional | | $7.59 | $12.30 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $3,630.78 / $9,772.37
| Facility | | $15.14 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $14.79 / $17.38
| Professional | | $14.79 | $14.79 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $31.62
| Professional | | $10.23 | $10.23 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.88 / $58.88
| Facility | | $12.59 | $12.88 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $14.45 / $77.62
| Facility | | $9.33 | $14.45 | $77.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $10.23 / $21.88
| Professional | | $6.17 | $10.23 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.89 / $10.23 / $16.98
| Facility | | $5.89 | $10.23 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $9.12 / $24.55
| Professional | | $5.13 | $9.12 | $24.55 |