- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $33.11 / $87.10
| Facility | | $16.98 | $33.11 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $12.02 / $16.98
| Professional | | $9.55 | $12.02 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.62 / $39.81 / $40.74
| Facility | | $31.62 | $39.81 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $7.24 / $58.88
| Professional | | $7.24 | $7.24 | $58.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Facility | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $47.86 / $75.86
| Facility | | $40.74 | $47.86 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $21.38 / $45.71
| Professional | | $16.98 | $21.38 | $45.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $32.36 / $117.49
| Facility | | $13.18 | $32.36 | $117.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $13.80 / $100.00
| Facility | | $11.75 | $13.80 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.30 / $33.11
| Professional | | $8.91 | $12.30 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $33.11 / $64.57
| Professional | | $7.41 | $33.11 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $37.15 / $128.82
| Professional | | $19.05 | $37.15 | $128.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $100.00
| Facility | | $29.51 | $29.51 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $9.55 / $14.45
| Professional | | $7.76 | $9.55 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $31.62 / $54.95
| Professional | | $31.62 | $31.62 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.95 / $54.95 / $85.11
| Professional | | $54.95 | $54.95 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $13.18 / $17.78
| Facility | | $11.22 | $13.18 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $12.02 / $36.31
| Professional | | $7.41 | $12.02 | $36.31 |