- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $55.12 / $308.80
| Facility | | $9.86 | $55.12 | $308.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $10.91 / $171.87
| Professional | | $9.86 | $10.91 | $171.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $11.70 / $2,036.51
| Facility | | $9.96 | $11.70 | $2,036.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.10 / $10.70 / $8,639.91
| Facility | | $9.10 | $10.70 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $10.23
| Professional | | $10.23 | $10.23 | $10.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $9.86 / $9.86
| Facility | | $9.30 | $9.86 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $9.86
| Professional | | $9.86 | $9.86 | $9.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.30 / $112.91 / $220.80
| Facility | | $51.30 | $112.91 | $220.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $11.37 / $1,955.29
| Facility | | $9.96 | $11.37 | $1,955.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $50.28 / $298.22
| Facility | | $9.96 | $50.28 | $298.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $13.54 / $85.94
| Professional | | $9.11 | $13.54 | $85.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $9.86 / $9.86
| Facility | | $9.30 | $9.86 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $9.86
| Professional | | $9.86 | $9.86 | $9.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.37 / $15.37 / $17.82
| Facility | | $15.37 | $15.37 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $15.37 / $17.82
| Professional | | $15.37 | $15.37 | $17.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $18.04
| Professional | | $9.86 | $9.86 | $18.04 |