- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.73 / $23.59 / $46.86
| Facility | | $10.73 | $23.59 | $46.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $10.30 / $10.73
| Professional | | $9.32 | $10.30 | $10.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.43 / $12.43 / $60.53
| Facility | | $12.43 | $12.43 | $60.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $5.61 / $7.52
| Professional | | $5.61 | $5.61 | $7.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.98 / $36.64 / $54.85
| Professional | | $23.98 | $36.64 | $54.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.68 / $26.89 / $59.74
| Facility | | $8.68 | $26.89 | $59.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $7.65 / $14.04
| Professional | | $6.43 | $7.65 | $14.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.92 / $15.54 / $18.39
| Professional | | $14.92 | $15.54 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $10.29 / $10.99
| Facility | | $9.94 | $10.29 | $10.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $13.93 / $29.00
| Professional | | $6.43 | $13.93 | $29.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.07 / $16.22 / $4,071.00
| Facility | | $9.07 | $16.22 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $15.98 / $4,071.00
| Professional | | $8.83 | $15.98 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $14.92 / $14.92
| Facility | | $14.92 | $14.92 | $14.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.22 / $12.43
| Professional | | $4.75 | $6.22 | $12.43 |