- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.25 / $40.85 / $100.25
| Facility | | $10.25 | $40.85 | $100.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $11.60 / $24.06
| Professional | | $7.20 | $11.60 | $24.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.64 / $23.42 / $293.00
| Facility | | $10.64 | $23.42 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.65 / $14.56
| Professional | | $5.42 | $7.65 | $14.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.95 / $85.29 / $193.75
| Facility | | $26.95 | $85.29 | $193.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $8.59 / $46.61
| Professional | | $6.01 | $8.59 | $46.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.78 / $13.20 / $33.79
| Facility | | $6.78 | $13.20 | $33.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $11.80 / $17.47
| Professional | | $6.37 | $11.80 | $17.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $10.68 / $99.00
| Professional | | $9.71 | $10.68 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $9.71 / $18.93
| Professional | | $7.77 | $9.71 | $18.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $90.00 / $90.00
| Facility | | $80.00 | $90.00 | $90.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.15 / $10.68 / $25.43
| Facility | | $5.15 | $10.68 | $25.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $9.71 / $19.42
| Professional | | $6.49 | $9.71 | $19.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.08 / $34.08 / $34.08
| Professional | | $34.08 | $34.08 | $34.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $8.25 / $18.77
| Professional | | $5.83 | $8.25 | $18.77 |