- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $38.02 / $86.87
| Facility | | $13.61 | $38.02 | $86.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.76 / $13.61 / $18.67
| Professional | | $12.76 | $13.61 | $18.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.03 / $24.86 / $107.00
| Facility | | $13.03 | $24.86 | $107.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $14.29 / $34.81
| Professional | | $8.57 | $14.29 | $34.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $40.14 / $70.18
| Facility | | $25.21 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $13.43 / $18.27
| Professional | | $13.43 | $13.43 | $18.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.99 / $21.23 / $48.83
| Facility | | $9.99 | $21.23 | $48.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $15.80 / $23.95
| Professional | | $8.52 | $15.80 | $23.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.29 / $19.80 / $53.20
| Professional | | $14.29 | $19.80 | $53.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.85 / $18.62 / $121.92
| Facility | | $12.85 | $18.62 | $121.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.86 / $107.00 / $107.00
| Facility | | $24.86 | $107.00 | $107.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.59 / $30.17
| Professional | | $6.86 | $9.59 | $30.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $11.98 / $27.24
| Professional | | $6.86 | $11.98 | $27.24 |