- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $25.90 / $48.85
| Facility | | $9.36 | $25.90 | $48.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $9.36 / $11.23
| Professional | | $8.57 | $9.36 | $11.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.98 / $26.55 / $121.00
| Facility | | $8.98 | $26.55 | $121.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $9.85 / $23.99
| Professional | | $5.91 | $9.85 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.48 / $27.86 / $48.70
| Facility | | $17.48 | $27.86 | $48.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.26 / $9.26 / $12.59
| Professional | | $9.26 | $9.26 | $12.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.89 / $14.63 / $33.61
| Facility | | $6.89 | $14.63 | $33.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $10.89 / $16.72
| Professional | | $5.83 | $10.89 | $16.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.60 / $3,472.00 / $9,239.00
| Facility | | $44.60 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.85 / $13.65 / $36.65
| Professional | | $9.85 | $13.65 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.55 / $121.00 / $121.00
| Facility | | $26.55 | $121.00 | $121.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $6.60 / $20.79
| Professional | | $4.73 | $6.60 | $20.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.73 / $7.61 / $17.63
| Professional | | $4.73 | $7.61 | $17.63 |