- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.82 / $22.77 / $44.04
| Facility | | $9.82 | $22.77 | $44.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.77 / $14.66
| Professional | | $10.68 | $10.77 | $14.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.89 / $11.58 / $8,459.92
| Facility | | $9.89 | $11.58 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.08 / $11.08 / $11.08
| Professional | | $11.08 | $11.08 | $11.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $10.68 / $10.68
| Facility | | $10.07 | $10.68 | $10.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.68 / $11.08
| Professional | | $10.68 | $10.68 | $11.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.08 / $11.58 / $14.94
| Professional | | $11.08 | $11.58 | $14.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $20.21 / $196.73
| Facility | | $11.02 | $20.21 | $196.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.82 / $19.95 / $29.58
| Facility | | $9.82 | $19.95 | $29.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.82 / $10.78 / $23.94
| Professional | | $9.82 | $10.78 | $23.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.40 / $33.90 / $56.60
| Professional | | $27.40 | $33.90 | $56.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $10.68 / $10.68
| Facility | | $10.07 | $10.68 | $10.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $10.68 / $12.09
| Professional | | $10.68 | $10.68 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.04 / $23.04 / $26.73
| Facility | | $23.04 | $23.04 | $26.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.04 / $23.04 / $26.73
| Professional | | $23.04 | $23.04 | $26.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $11.32 / $18.41
| Professional | | $10.68 | $11.32 | $18.41 |