- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $27.83 / $49.05
| Facility | | $9.94 | $27.83 | $49.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $11.94 / $12.52
| Professional | | $9.94 | $11.94 | $12.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $64.53
| Facility | | $13.25 | $13.25 | $64.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $6.54 / $8.01
| Professional | | $6.54 | $6.54 | $8.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.26 / $60.00 / $89.82
| Professional | | $39.26 | $60.00 | $89.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $35.08 / $67.09
| Facility | | $9.26 | $35.08 | $67.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $8.97 / $15.28
| Professional | | $7.51 | $8.97 | $15.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.90 / $16.55 / $19.61
| Professional | | $15.90 | $16.55 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.11 / $12.03 / $12.52
| Facility | | $11.11 | $12.03 | $12.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $19.00 / $33.00
| Professional | | $11.66 | $19.00 | $33.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.31 / $17.64 / $4,071.00
| Facility | | $10.31 | $17.64 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $17.39 / $4,071.00
| Professional | | $10.31 | $17.39 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $13.25 / $22.79
| Facility | | $8.84 | $13.25 | $22.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.95 / $13.89
| Professional | | $5.57 | $7.95 | $13.89 |