- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $25.70 / $64.57
| Facility | | $7.94 | $25.70 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $8.91 / $12.88
| Professional | | $7.94 | $8.91 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $46.77
| Facility | | $11.48 | $11.48 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $5.75 / $8.91
| Professional | | $5.75 | $5.75 | $8.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.67 / $54.95 / $81.28
| Professional | | $34.67 | $54.95 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $30.20 / $52.48
| Facility | | $11.75 | $30.20 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $7.76 / $13.18
| Professional | | $6.46 | $7.76 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $13.80 / $16.98
| Professional | | $11.48 | $13.80 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $19.50 / $22.39
| Professional | | $9.55 | $19.50 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $12.59 / $12.59
| Facility | | $9.77 | $12.59 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.18 / $24.55
| Professional | | $10.00 | $13.18 | $24.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $16.22 / $10,000.00
| Facility | | $8.91 | $16.22 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $15.85 / $10,000.00
| Professional | | $8.91 | $15.85 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.90 / $11.48 / $13.80
| Facility | | $4.90 | $11.48 | $13.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $6.92 / $12.02
| Professional | | $4.90 | $6.92 | $12.02 |