- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $32.50 / $81.44
| Facility | | $10.60 | $32.50 | $81.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $10.60 / $22.22
| Professional | | $10.60 | $10.60 | $22.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.97 / $34.96 / $87.21
| Facility | | $14.97 | $34.96 | $87.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $18.34 / $38.34
| Professional | | $9.32 | $18.34 | $38.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.52 / $45.65 / $80.20
| Facility | | $21.52 | $45.65 | $80.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.23 / $17.26 / $18.18
| Professional | | $14.23 | $17.26 | $18.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $24.76 / $56.06
| Facility | | $12.30 | $24.76 | $56.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $15.38 / $27.88
| Professional | | $11.03 | $15.38 | $27.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.60 / $26.60 / $31.30
| Professional | | $26.60 | $26.60 | $31.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.36 / $25.45 / $59.12
| Professional | | $18.36 | $25.45 | $59.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.87 / $23.87 / $23.87
| Facility | | $23.87 | $23.87 | $23.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.96 / $87.21 / $87.21
| Facility | | $34.96 | $87.21 | $87.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $11.02 / $27.53
| Professional | | $8.14 | $11.02 | $27.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.34 / $11.02 / $27.53
| Professional | | $7.34 | $11.02 | $27.53 |