- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.43 / $23.06 / $66.31
| Facility | | $7.43 | $23.06 | $66.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $9.80 / $20.65
| Professional | | $7.57 | $9.80 | $20.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.63 / $27.81 / $293.00
| Facility | | $12.63 | $27.81 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $4.74 / $11.57
| Professional | | $4.61 | $4.74 | $11.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.60 / $64.34 / $108.50
| Facility | | $22.60 | $64.34 | $108.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $11.53 / $37.17
| Professional | | $8.07 | $11.53 | $37.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.49 / $13.33 / $34.90
| Facility | | $7.49 | $13.33 | $34.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $14.04 / $17.55
| Professional | | $8.26 | $14.04 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $11.53 / $99.00
| Professional | | $11.53 | $11.53 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $25.72
| Professional | | $9.22 | $11.53 | $25.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.93 / $60.00 / $60.00
| Facility | | $20.93 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.60 / $11.53 / $27.81
| Facility | | $7.60 | $11.53 | $27.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $11.53 / $13.84
| Professional | | $8.26 | $11.53 | $13.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.53 / $16.14
| Professional | | $9.22 | $11.53 | $16.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $19.45
| Professional | | $4.84 | $4.84 | $19.45 |