- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.25 / $55.88 / $108.80
| Facility | | $8.25 | $55.88 | $108.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $8.52 / $32.40
| Professional | | $7.83 | $8.52 | $32.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $5.58 / $6.46
| Professional | | $4.28 | $5.58 | $6.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $22.43 / $293.00
| Facility | | $10.19 | $22.43 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $5.46 / $20.18
| Professional | | $4.59 | $5.46 | $20.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.09 / $69.00 / $120.81
| Facility | | $24.09 | $69.00 | $120.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $5.80 / $44.64
| Professional | | $4.05 | $5.80 | $44.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.44 / $12.22 / $31.16
| Facility | | $6.44 | $12.22 | $31.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $11.15 / $15.60
| Professional | | $6.26 | $11.15 | $15.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $9.30 / $14.88
| Professional | | $6.08 | $9.30 | $14.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $9.31 / $20.74
| Professional | | $7.44 | $9.31 | $20.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.06 / $86.54 / $100.00
| Facility | | $68.06 | $86.54 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $11.28 / $17.89
| Professional | | $8.36 | $11.28 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $5.58 / $5.58
| Professional | | $5.58 | $5.58 | $5.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.70 / $10.77 / $26.50
| Facility | | $7.70 | $10.77 | $26.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $9.30 / $18.60
| Professional | | $6.26 | $9.30 | $18.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.64 / $32.64 / $32.64
| Professional | | $32.64 | $32.64 | $32.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $8.90 / $12.21
| Professional | | $7.44 | $8.90 | $12.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.91 / $5.53 / $19.14
| Professional | | $3.91 | $5.53 | $19.14 |