- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $20.05 / $205.41
| Facility | | $0.02 | $20.05 | $205.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $19.66 / $19.66
| Professional | | $18.04 | $19.66 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.02 / $7.17 / $18.39
| Professional | | $2.02 | $7.17 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $5.00 / $5.00
| Facility | | $3.00 | $5.00 | $5.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.17 / $5.00 / $5.00
| Professional | | $2.17 | $5.00 | $5.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $51.03 / $84.04
| Facility | | $50.00 | $51.03 | $84.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.53 / $24.47 / $115.39
| Professional | | $14.53 | $24.47 | $115.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.53 / $21.53 / $21.53
| Professional | | $21.53 | $21.53 | $21.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.58 / $23.35 / $25.72
| Professional | | $21.58 | $23.35 | $25.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.38 / $92.19 / $264.17
| Facility | | $13.38 | $92.19 | $264.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $51.03 / $597.00
| Facility | | $13.73 | $51.03 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.63 / $19.63 / $28.86
| Professional | | $19.63 | $19.63 | $28.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $17.23 / $42.33
| Professional | | $9.67 | $17.23 | $42.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $26.16
| Facility | | $26.16 | $26.16 | $26.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.61 / $23.35 / $27.34
| Professional | | $21.61 | $23.35 | $27.34 |