- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $28.99 / $52.23
| Facility | | $10.64 | $28.99 | $52.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $10.64 / $19.11
| Professional | | $10.07 | $10.64 | $19.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $26.11 / $100.95
| Facility | | $10.19 | $26.11 | $100.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $12.29 / $29.94
| Professional | | $7.37 | $12.29 | $29.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $31.13 / $54.43
| Facility | | $19.55 | $31.13 | $54.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.55 / $11.55 / $14.29
| Professional | | $11.55 | $11.55 | $14.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $16.78 / $38.15
| Facility | | $8.59 | $16.78 | $38.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $12.35 / $18.98
| Professional | | $7.49 | $12.35 | $18.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.48 / $3,472.00 / $9,239.00
| Facility | | $29.48 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $17.73 / $20.86
| Professional | | $17.73 | $17.73 | $20.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.29 / $17.03 / $41.57
| Professional | | $12.29 | $17.03 | $41.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.03 / $10.03 / $10.03
| Facility | | $10.03 | $10.03 | $10.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $100.95 / $100.95
| Facility | | $26.11 | $100.95 | $100.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.49 / $23.58
| Professional | | $5.54 | $7.49 | $23.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.37 / $20.00
| Professional | | $5.54 | $7.37 | $20.00 |