- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $20.38 / $40.49
| Facility | | $10.14 | $20.38 | $40.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $8.91 / $10.14
| Professional | | $8.06 | $8.91 | $10.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $52.30
| Facility | | $10.74 | $10.74 | $52.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $5.30 / $6.49
| Professional | | $5.30 | $5.30 | $6.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.82 / $48.63 / $72.80
| Professional | | $31.82 | $48.63 | $72.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $27.55 / $55.36
| Facility | | $7.51 | $27.55 | $55.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $7.16 / $12.39
| Professional | | $6.09 | $7.16 | $12.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $13.43 / $15.90
| Professional | | $12.89 | $13.43 | $15.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $11.62 / $11.62
| Facility | | $9.01 | $11.62 | $11.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.03 / $16.23 / $28.00
| Professional | | $8.03 | $16.23 | $28.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.35 / $14.66 / $4,071.00
| Facility | | $8.35 | $14.66 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $14.32 / $4,071.00
| Professional | | $8.35 | $14.32 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.89 / $12.89 / $12.89
| Facility | | $12.89 | $12.89 | $12.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $6.34 / $10.74
| Professional | | $4.51 | $6.34 | $10.74 |