- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $34.34 / $50.56
| Facility | | $9.78 | $34.34 | $50.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.31 / $9.78 / $77.73
| Professional | | $8.31 | $9.78 | $77.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.95 / $67.89 / $8,459.92
| Facility | | $50.95 | $67.89 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.43 / $9.43 / $9.43
| Professional | | $9.43 | $9.43 | $9.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.46 / $17.89 / $40.20
| Facility | | $11.46 | $17.89 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $11.65 / $24.48
| Professional | | $5.91 | $11.65 | $24.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $16.32 / $22.97
| Professional | | $7.19 | $16.32 | $22.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $89.87 / $89.87 / $96.27
| Facility | | $89.87 | $89.87 | $96.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.28 / $34.27 / $50.56
| Facility | | $10.28 | $34.27 | $50.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $10.28 / $49.93
| Professional | | $8.69 | $10.28 | $49.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.40 / $16.80 / $24.18
| Professional | | $11.40 | $16.80 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.46 / $18.53 / $40.20
| Facility | | $11.46 | $18.53 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $12.00 / $24.48
| Professional | | $6.32 | $12.00 | $24.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $14.38
| Facility | | $12.09 | $12.09 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $14.38
| Professional | | $12.09 | $12.09 | $14.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $12.58 / $22.97
| Professional | | $7.25 | $12.58 | $22.97 |