- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.65 / $35.76 / $55.00
| Facility | | $10.65 | $35.76 | $55.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.39 / $12.62
| Professional | | $6.92 | $10.39 | $12.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.99 / $50.63 / $8,639.91
| Facility | | $38.99 | $50.63 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $10.26 / $10.26
| Professional | | $10.26 | $10.26 | $10.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.65 / $17.09 / $39.25
| Facility | | $8.65 | $17.09 | $39.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.83 / $13.54 / $19.64
| Professional | | $4.83 | $13.54 | $19.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.05 / $8.73 / $17.80
| Professional | | $6.05 | $8.73 | $17.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $34.13 / $55.00
| Facility | | $11.18 | $34.13 | $55.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $10.65 / $54.31
| Professional | | $6.92 | $10.65 | $54.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.55 / $17.10 / $43.46
| Facility | | $8.55 | $17.10 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $13.54 / $19.10
| Professional | | $4.80 | $13.54 | $19.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $13.15 / $13.15
| Facility | | $13.15 | $13.15 | $13.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.00 / $13.15 / $13.15
| Professional | | $11.00 | $13.15 | $13.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.74 / $7.89 / $19.73
| Professional | | $4.74 | $7.89 | $19.73 |