- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $35.56 / $89.31
| Facility | | $8.41 | $35.56 | $89.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.41 / $11.35 / $26.40
| Professional | | $8.41 | $11.35 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.92 / $27.91 / $60.00
| Facility | | $8.92 | $27.91 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $12.02 / $30.69
| Professional | | $6.30 | $12.02 | $30.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.44 / $30.30 / $52.98
| Facility | | $16.44 | $30.30 | $52.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.30 / $11.84 / $12.47
| Professional | | $11.30 | $11.84 | $12.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $14.26 / $26.24
| Facility | | $8.75 | $14.26 | $26.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.13 / $15.28 / $30.87
| Professional | | $7.13 | $15.28 | $30.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.99 / $53.00 / $6,679.00
| Facility | | $14.99 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.85 / $16.60 / $21.41
| Professional | | $12.85 | $16.60 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.60 / $17.46 / $40.57
| Professional | | $12.60 | $17.46 | $40.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.38 / $11.75 / $116.37
| Facility | | $11.38 | $11.75 | $116.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $1,084.00
| Facility | | $60.00 | $60.00 | $1,084.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $7.56 / $21.04
| Professional | | $5.24 | $7.56 | $21.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $7.56 / $18.03
| Professional | | $5.04 | $7.56 | $18.03 |