- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.46 / $35.10 / $54.00
| Facility | | $10.46 | $35.10 | $54.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $10.61 / $12.39
| Professional | | $10.07 | $10.61 | $12.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.72 / $77.55 / $8,639.91
| Facility | | $59.72 | $77.55 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.07 / $10.07 / $10.07
| Professional | | $10.07 | $10.07 | $10.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.48 / $16.85 / $42.38
| Facility | | $8.48 | $16.85 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $14.87 / $20.73
| Professional | | $7.46 | $14.87 | $20.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.94 / $10.33 / $17.48
| Professional | | $5.94 | $10.33 | $17.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.97 / $35.10 / $54.00
| Facility | | $10.97 | $35.10 | $54.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $10.74 / $53.32
| Professional | | $9.16 | $10.74 | $53.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.64 / $18.00 / $42.38
| Facility | | $8.64 | $18.00 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $14.87 / $20.73
| Professional | | $7.46 | $14.87 | $20.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.91 / $12.91 / $12.91
| Facility | | $12.91 | $12.91 | $12.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $12.91 / $16.86
| Professional | | $11.36 | $12.91 | $16.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.81 / $7.78 / $22.46
| Professional | | $5.81 | $7.78 | $22.46 |