- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $5.01 / $61.66
| Facility | | $3.98 | $5.01 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $10.96 / $39.81
| Professional | | $5.01 | $10.96 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $7.94 / $23.99
| Facility | | $6.17 | $7.94 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $14.45 / $331.13
| Professional | | $5.25 | $14.45 | $331.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $25.12 / $33.88
| Facility | | $15.14 | $25.12 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $10.72 / $30.90
| Professional | | $7.41 | $10.72 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $5.89
| Professional | | $5.89 | $5.89 | $5.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $16.22
| Professional | | $14.45 | $14.45 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $14.45 / $38.90
| Professional | | $13.18 | $14.45 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.11 / $85.11 / $85.11
| Facility | | $85.11 | $85.11 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $14.45
| Professional | | $14.45 | $14.45 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.62 / $8.71 / $14.79
| Facility | | $5.62 | $8.71 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $5.89 / $14.45
| Professional | | $5.75 | $5.89 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $26.92
| Professional | | $26.92 | $26.92 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $13.80 / $40.74
| Professional | | $8.32 | $13.80 | $40.74 |