- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $19.64 / $32.47
| Facility | | $7.04 | $19.64 | $32.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $7.04 / $12.64
| Professional | | $6.66 | $7.04 | $12.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.74 / $18.27 / $100.00
| Facility | | $6.74 | $18.27 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $7.64 / $18.61
| Professional | | $4.20 | $7.64 | $18.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $21.67 / $35.79
| Facility | | $14.32 | $21.67 | $35.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $7.18 / $9.44
| Professional | | $7.18 | $7.18 | $9.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.34 / $10.97 / $25.24
| Facility | | $5.34 | $10.97 | $25.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.58 / $8.16 / $12.66
| Professional | | $4.58 | $8.16 | $12.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.99 / $3,472.00 / $9,239.00
| Facility | | $29.99 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.21 / $11.21 / $13.18
| Professional | | $11.21 | $11.21 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $10.59 / $27.50
| Professional | | $7.64 | $10.59 | $27.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.27 / $100.00 / $100.00
| Facility | | $18.27 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.66 / $4.58 / $15.59
| Professional | | $3.66 | $4.58 | $15.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $15.00
| Facility | | $15.00 | $15.00 | $15.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.06 / $4.58 / $15.59
| Professional | | $3.06 | $4.58 | $15.59 |