- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $23.44 / $87.10
| Facility | | $8.91 | $23.44 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.32 / $12.59
| Professional | | $7.08 | $8.32 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $41.69
| Facility | | $10.47 | $10.47 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.31 / $8.13
| Professional | | $5.37 | $6.31 | $8.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $44.67 / $67.61
| Professional | | $28.18 | $44.67 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $24.55 / $47.86
| Facility | | $10.72 | $24.55 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.41 / $15.49
| Professional | | $5.37 | $7.41 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $12.59 / $15.49
| Professional | | $10.47 | $12.59 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $15.85 / $18.62
| Professional | | $7.08 | $15.85 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $8.71 / $10.47
| Facility | | $8.32 | $8.71 | $10.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $12.02 / $21.88
| Professional | | $8.13 | $12.02 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $15.14 / $10,000.00
| Facility | | $8.51 | $15.14 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $15.14 / $10,000.00
| Professional | | $8.51 | $15.14 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $10.47 / $12.59
| Facility | | $4.37 | $10.47 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $5.89 / $10.00
| Professional | | $4.37 | $5.89 | $10.00 |