- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $26.30 / $41.69
| Facility | | $12.59 | $26.30 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.00 / $12.88
| Professional | | $7.94 | $10.00 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $13.80 / $35.48
| Facility | | $13.80 | $13.80 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $6.76 / $21.88
| Professional | | $6.76 | $6.76 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $13.80 / $13.80
| Facility | | $13.80 | $13.80 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.80 / $13.80
| Professional | | $10.00 | $13.80 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $28.84 / $34.67
| Facility | | $9.12 | $28.84 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $66.07 / $66.07
| Professional | | $8.91 | $66.07 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $22.91 / $52.48
| Facility | | $13.80 | $22.91 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.32 / $26.92
| Professional | | $6.46 | $8.32 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $13.18 / $15.49
| Professional | | $9.55 | $13.18 | $15.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $25.70 / $50,118.72
| Facility | | $17.78 | $25.70 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $12.30 / $16.60
| Facility | | $8.32 | $12.30 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.32 / $20.42
| Professional | | $5.75 | $8.32 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $13.80 / $15.85
| Facility | | $11.75 | $13.80 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $13.80 / $15.85
| Professional | | $8.32 | $13.80 | $15.85 |