- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $40.33 / $73.16
| Facility | | $9.77 | $40.33 | $73.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.34 / $5.13 / $6.36
| Professional | | $4.34 | $5.13 | $6.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.28 / $10.06 / $60.00
| Facility | | $5.28 | $10.06 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.47 / $5.78 / $14.08
| Professional | | $3.47 | $5.78 | $14.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.91 / $16.39 / $28.65
| Facility | | $9.91 | $16.39 | $28.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.43 / $5.43 / $6.76
| Professional | | $5.43 | $5.43 | $6.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.04 / $8.57 / $19.77
| Facility | | $4.04 | $8.57 | $19.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.54 / $5.98 / $9.94
| Professional | | $3.54 | $5.98 | $9.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.90 / $13.05 / $6,679.00
| Facility | | $5.90 | $13.05 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $7.62 / $9.89
| Professional | | $5.90 | $7.62 | $9.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.01 / $22.92
| Professional | | $5.78 | $8.01 | $22.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.75 / $7.46 / $60.85
| Facility | | $6.75 | $7.46 | $60.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $60.00 / $60.00
| Facility | | $10.06 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.77 / $3.88 / $11.42
| Professional | | $2.77 | $3.88 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $6.59 / $12.85
| Facility | | $5.57 | $6.59 | $12.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $5.61 / $6.83
| Professional | | $5.09 | $5.61 | $6.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.20 / $5.78 / $6.94
| Facility | | $5.20 | $5.78 | $6.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.77 / $3.88 / $11.42
| Professional | | $2.77 | $3.88 | $11.42 |