- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.52 / $32.59 / $179.40
| Facility | | $12.52 | $32.59 | $179.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.94 / $12.52
| Professional | | $7.02 | $9.94 | $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
- $38.35 / $58.61 / $87.74
| Professional | | $38.35 | $58.61 | $87.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $31.28 / $67.09
| Facility | | $8.71 | $31.28 | $67.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $8.84 / $15.28
| Professional | | $7.51 | $8.84 | $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
- $9.66 / $9.66 / $18.43
| Facility | | $9.66 | $9.66 | $18.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $18.09 / $18.66
| Professional | | $10.63 | $18.09 | $18.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.31 / $18.09 / $4,071.00
| Facility | | $10.31 | $18.09 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $18.09 / $4,071.00
| Professional | | $10.31 | $18.09 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $5.57 / $5.57
| Facility | | $5.57 | $5.57 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.60 / $13.25
| Professional | | $5.57 | $7.60 | $13.25 |