- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $31.62 / $95.50
| Facility | | $11.75 | $31.62 | $95.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $10.96 / $52.48
| Professional | | $7.94 | $10.96 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.60 / $93.33
| Facility | | $10.72 | $16.60 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $11.75 / $25.12
| Professional | | $5.01 | $11.75 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $29.51 / $46.77
| Facility | | $23.44 | $29.51 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $15.14
| Professional | | $11.22 | $11.22 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $18.62 / $45.71
| Facility | | $9.33 | $18.62 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $14.45 / $19.95
| Professional | | $8.71 | $14.45 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $3,630.78 / $9,772.37
| Facility | | $16.98 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $20.42
| Professional | | $17.38 | $17.38 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $36.31
| Professional | | $11.75 | $11.75 | $36.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $14.45
| Facility | | $14.45 | $14.45 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.60 / $93.33
| Facility | | $10.72 | $16.60 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $11.75 / $25.12
| Professional | | $5.62 | $11.75 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $11.75 / $19.50
| Facility | | $6.76 | $11.75 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.16 / $10.00 / $28.18
| Professional | | $3.16 | $10.00 | $28.18 |