- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $23.44 / $39.81
| Facility | | $11.22 | $23.44 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.02 / $10.00 / $19.50
| Professional | | $3.02 | $10.00 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $34.67
| Facility | | $13.49 | $13.49 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $5.37 / $19.50
| Professional | | $5.37 | $5.37 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $13.49 / $13.49
| Facility | | $7.94 | $13.49 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $13.49 / $13.49
| Professional | | $9.77 | $13.49 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $33.88 / $56.23
| Facility | | $9.12 | $33.88 | $56.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $15.14 / $64.57
| Professional | | $3.98 | $15.14 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $13.49 / $30.20
| Facility | | $4.47 | $13.49 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $7.94 / $25.70
| Professional | | $5.89 | $7.94 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.79 / $8.51 / $14.13
| Professional | | $4.79 | $8.51 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $25.12 / $50,118.72
| Facility | | $6.46 | $25.12 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.80 / $12.02 / $15.85
| Facility | | $3.80 | $12.02 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $6.61 / $19.95
| Professional | | $3.80 | $6.61 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.47 / $14.13 / $19.95
| Facility | | $4.47 | $14.13 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $12.59 / $23.44
| Professional | | $5.01 | $12.59 | $23.44 |