- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.78 / $21.49 / $39.61
| Facility | | $7.78 | $21.49 | $39.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $7.26 / $9.55
| Professional | | $7.10 | $7.26 | $9.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.45 / $19.47 / $205.07
| Facility | | $7.45 | $19.47 | $205.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.55 / $23.26
| Professional | | $5.25 | $9.55 | $23.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.40 / $22.94 / $40.10
| Facility | | $14.40 | $22.94 | $40.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $8.98 / $10.44
| Professional | | $8.98 | $8.98 | $10.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.67 / $12.36 / $27.88
| Facility | | $6.67 | $12.36 | $27.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $9.02 / $14.45
| Professional | | $5.83 | $9.02 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.88 / $3,472.00 / $9,239.00
| Facility | | $27.88 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $13.24 / $31.71
| Professional | | $9.55 | $13.24 | $31.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.47 / $205.07 / $205.07
| Facility | | $19.47 | $205.07 | $205.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.73 / $17.22
| Professional | | $4.05 | $5.73 | $17.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.73 / $37.86
| Professional | | $4.05 | $5.73 | $37.86 |