- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $21.30 / $54.17
| Facility | | $10.24 | $21.30 | $54.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $12.05 / $21.00
| Professional | | $6.57 | $12.05 | $21.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $31.33
| Facility | | $12.05 | $12.05 | $31.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $6.14 / $22.03
| Professional | | $4.82 | $6.14 | $22.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $12.05 / $12.05
| Facility | | $7.23 | $12.05 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $12.05 / $12.05
| Professional | | $8.80 | $12.05 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.39 / $15.59 / $29.73
| Facility | | $6.39 | $15.59 | $29.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $17.04 / $58.08
| Professional | | $6.75 | $17.04 | $58.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.71 / $17.35 / $332.00
| Facility | | $10.71 | $17.35 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $7.17 / $22.53
| Professional | | $4.82 | $7.17 | $22.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.30 / $7.30 / $7.30
| Facility | | $7.30 | $7.30 | $7.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $10.24 / $13.53
| Professional | | $7.30 | $10.24 | $13.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $8.44 / $8.44
| Professional | | $8.44 | $8.44 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.26 / $37.36 / $118.68
| Facility | | $13.26 | $37.36 | $118.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $23.69 / $555.00
| Facility | | $8.42 | $23.69 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.51 / $24.82
| Professional | | $7.83 | $11.51 | $24.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.78 / $17.70
| Professional | | $5.05 | $6.78 | $17.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.86 / $13.86 / $17.02
| Facility | | $13.86 | $13.86 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $11.45 / $14.48
| Professional | | $7.55 | $11.45 | $14.48 |