- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $22.91 / $37.15
| Facility | | $12.30 | $22.91 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $18.20
| Professional | | $8.91 | $10.00 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $12.30 / $31.62
| Facility | | $12.30 | $12.30 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.17 / $28.84
| Professional | | $6.03 | $6.17 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $12.30 / $12.30
| Facility | | $7.41 | $12.30 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.30 / $12.30
| Professional | | $8.91 | $12.30 | $12.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $26.30 / $131.83
| Facility | | $9.33 | $26.30 | $131.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $17.38 / $81.28
| Professional | | $7.94 | $17.38 | $81.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $14.13 / $33.88
| Facility | | $7.59 | $14.13 | $33.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.51 / $23.99
| Professional | | $5.75 | $8.51 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $12.30 / $16.22
| Professional | | $10.47 | $12.30 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $22.91 / $50,118.72
| Facility | | $15.14 | $22.91 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.41 / $10.96 / $15.14
| Facility | | $7.41 | $10.96 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.41 / $18.62
| Professional | | $5.13 | $7.41 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $14.13 / $37.15
| Facility | | $10.47 | $14.13 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $12.88 / $41.69
| Professional | | $10.47 | $12.88 | $41.69 |