- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $37.82 / $58.18
| Facility | | $11.27 | $37.82 | $58.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $11.67 / $62.00
| Professional | | $9.86 | $11.67 | $62.00 |
- 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
- $10.85 / $10.85 / $10.85
| Professional | | $10.85 | $10.85 | $10.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $18.07 / $45.64
| Facility | | $9.14 | $18.07 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $15.69 / $21.16
| Professional | | $7.46 | $15.69 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.40 / $8.21 / $18.82
| Professional | | $6.40 | $8.21 | $18.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.13 / $28.09 / $31.23
| Facility | | $18.13 | $28.09 | $31.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $32.86 / $58.18
| Facility | | $11.27 | $32.86 | $58.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $12.47 / $57.62
| Professional | | $10.02 | $12.47 | $57.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $18.52 / $45.64
| Facility | | $9.31 | $18.52 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $15.69 / $21.16
| Professional | | $7.46 | $15.69 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.91 / $13.91 / $13.91
| Facility | | $13.91 | $13.91 | $13.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.24 / $13.91 / $15.68
| Professional | | $12.24 | $13.91 | $15.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $8.90 / $24.20
| Professional | | $6.26 | $8.90 | $24.20 |