- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.21 / $19.66 / $28.31
| Facility | | $9.21 | $19.66 | $28.31 |
- 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
- $4.18 / $8.74 / $20.12
| Professional | | $4.18 | $8.74 | $20.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.30 / $10.50 / $10.50
| Facility | | $6.30 | $10.50 | $10.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $10.50 / $10.50
| Professional | | $5.09 | $10.50 | $10.50 |
- 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 / $24.67 / $115.39
| Professional | | $14.53 | $24.67 | $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
- $7.99 / $23.44 / $98.52
| Facility | | $7.99 | $23.44 | $98.52 |
- 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
- $24.47 / $30.79 / $45.26
| Professional | | $24.47 | $30.79 | $45.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $15.64 / $38.74
| Professional | | $9.67 | $15.64 | $38.74 |
- 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 |