- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $42.00 / $105.11
| Facility | | $10.74 | $42.00 | $105.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.02 / $11.89 / $65.45
| Professional | | $6.02 | $11.89 | $65.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $4.68
| Professional | | $4.68 | $4.68 | $4.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $24.55 / $293.00
| Facility | | $11.15 | $24.55 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $8.01 / $26.13
| Professional | | $5.01 | $8.01 | $26.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.37 / $71.20 / $132.25
| Facility | | $26.37 | $71.20 | $132.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $9.02 / $48.86
| Professional | | $6.31 | $9.02 | $48.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.04 / $13.37 / $35.46
| Facility | | $7.04 | $13.37 | $35.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $12.39 / $18.07
| Professional | | $6.58 | $12.39 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $10.18 / $16.29
| Professional | | $4.72 | $10.18 | $16.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $10.18 / $22.71
| Professional | | $8.14 | $10.18 | $22.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.00 / $80.00 / $80.00
| Facility | | $70.00 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $5.09 / $5.09
| Professional | | $5.09 | $5.09 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.42 / $12.13 / $32.35
| Facility | | $7.42 | $12.13 | $32.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $10.18 / $20.36
| Professional | | $6.72 | $10.18 | $20.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.72 / $35.72 / $35.72
| Professional | | $35.72 | $35.72 | $35.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $8.02 / $9.16
| Professional | | $4.80 | $8.02 | $9.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.11 / $20.23
| Professional | | $4.28 | $6.11 | $20.23 |