- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.96 / $43.51 / $66.92
| Facility | | $12.96 | $43.51 | $66.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $12.96 / $66.08
| Professional | | $9.86 | $12.96 | $66.08 |
- 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
- $12.48 / $12.48 / $12.48
| Professional | | $12.48 | $12.48 | $12.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $20.80 / $53.24
| Facility | | $10.52 | $20.80 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $17.98 / $23.77
| Professional | | $7.46 | $17.98 | $23.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.36 / $9.49 / $21.66
| Professional | | $7.36 | $9.49 | $21.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.40 / $26.40 / $27.00
| Facility | | $26.40 | $26.40 | $27.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.60 / $43.51 / $66.92
| Facility | | $13.60 | $43.51 | $66.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $13.12 / $66.08
| Professional | | $10.59 | $13.12 | $66.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.71 / $21.31 / $53.24
| Facility | | $10.71 | $21.31 | $53.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $17.98 / $22.72
| Professional | | $7.46 | $17.98 | $22.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $16.00 / $16.00
| Facility | | $16.00 | $16.00 | $16.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.08 / $16.00 / $16.00
| Professional | | $14.08 | $16.00 | $16.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $9.60 / $25.98
| Professional | | $6.72 | $9.60 | $25.98 |