- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $31.81 / $46.12
| Facility | | $12.29 | $31.81 | $46.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $10.52 / $12.29
| Professional | | $7.40 | $10.52 | $12.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.46 / $14.46 / $70.42
| Facility | | $14.46 | $14.46 | $70.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $5.78 / $8.74
| Professional | | $5.78 | $5.78 | $8.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.16 / $38.46 / $57.57
| Professional | | $25.16 | $38.46 | $57.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $27.03 / $65.31
| Facility | | $10.11 | $27.03 | $65.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.61 / $7.38 / $16.93
| Professional | | $5.61 | $7.38 | $16.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.35 / $18.07 / $21.40
| Professional | | $17.35 | $18.07 | $21.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.54 / $10.53 / $12.29
| Facility | | $7.54 | $10.53 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $12.85 / $23.00
| Professional | | $9.65 | $12.85 | $23.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $16.80 / $4,071.00
| Facility | | $10.11 | $16.80 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $17.17 / $4,071.00
| Professional | | $10.11 | $17.17 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.12 / $14.46 / $14.60
| Facility | | $7.12 | $14.46 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.99 / $6.51 / $9.40
| Professional | | $4.99 | $6.51 | $9.40 |