- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $40.74 / $165.96
| Facility | | $16.60 | $40.74 | $165.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $13.49 / $20.89
| Professional | | $12.02 | $13.49 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $74.13
| Facility | | $18.62 | $18.62 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $11.22 / $13.80
| Professional | | $7.41 | $11.22 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $40.74 / $64.57 / $95.50
| Professional | | $40.74 | $64.57 | $95.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $35.48 / $85.11
| Facility | | $19.05 | $35.48 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $11.22 / $27.54
| Professional | | $8.51 | $11.22 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $22.39 / $27.54
| Professional | | $18.62 | $22.39 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $22.91 / $26.92
| Professional | | $11.22 | $22.91 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $13.49 / $15.85
| Facility | | $12.02 | $13.49 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $13.18 / $38.90
| Professional | | $12.02 | $13.18 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $23.99 / $10,000.00
| Facility | | $13.49 | $23.99 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $23.99 / $10,000.00
| Professional | | $13.49 | $23.99 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.76 / $18.62 / $22.39
| Facility | | $7.76 | $18.62 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $8.32 / $14.13
| Professional | | $7.76 | $8.32 | $14.13 |