- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $50.47 / $75.56
| Facility | | $10.39 | $50.47 | $75.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.46 / $10.94 / $76.62
| Professional | | $9.46 | $10.94 | $76.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.62 / $82.11 / $8,459.92
| Facility | | $61.62 | $82.11 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $9.52 / $9.52
| Professional | | $9.52 | $9.52 | $9.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.59 / $18.55 / $40.20
| Facility | | $11.59 | $18.55 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $11.65 / $27.40
| Professional | | $7.23 | $11.65 | $27.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $16.50 / $23.22
| Professional | | $7.27 | $16.50 | $23.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.91 / $66.34 / $78.64
| Facility | | $62.91 | $66.34 | $78.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.43 / $50.47 / $72.80
| Facility | | $11.43 | $50.47 | $72.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $14.85 / $76.62
| Professional | | $9.65 | $14.85 | $76.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $649.70 / $649.70 / $649.70
| Facility | | $649.70 | $649.70 | $649.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $18.89 / $53.60
| Professional | | $13.80 | $18.89 | $53.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.91 / $20.32 / $40.20
| Facility | | $11.91 | $20.32 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.61 / $13.03 / $27.40
| Professional | | $7.61 | $13.03 | $27.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $12.04 / $12.04
| Professional | | $12.04 | $12.04 | $12.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.49 / $20.01
| Professional | | $5.13 | $7.49 | $20.01 |