- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $48.98 / $91.20
| Facility | | $18.62 | $48.98 | $91.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.23 / $15.14
| Professional | | $7.94 | $10.23 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $16.22 / $100.00
| Facility | | $10.47 | $16.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $11.48 / $23.99
| Professional | | $6.92 | $11.48 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $28.18 / $44.67
| Facility | | $22.39 | $28.18 | $44.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $14.45
| Professional | | $10.72 | $10.72 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $18.20 / $43.65
| Facility | | $8.91 | $18.20 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $14.13 / $19.50
| Professional | | $8.32 | $14.13 | $19.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $3,630.78 / $9,772.37
| Facility | | $10.23 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.22 / $16.22 / $19.05
| Professional | | $16.22 | $16.22 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $11.48 / $34.67
| Professional | | $11.48 | $11.48 | $34.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $16.98 / $79.43
| Facility | | $12.59 | $16.98 | $79.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $16.22 / $100.00
| Facility | | $10.47 | $16.22 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $11.48 / $23.99
| Professional | | $6.92 | $11.48 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $18.20
| Facility | | $10.00 | $12.88 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $11.75 / $16.98
| Professional | | $10.00 | $11.75 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.61 / $11.48 / $19.05
| Facility | | $6.61 | $11.48 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $10.00 / $27.54
| Professional | | $5.62 | $10.00 | $27.54 |