- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $29.51 / $72.44
| Facility | | $10.96 | $29.51 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $12.88
| Professional | | $8.91 | $10.00 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $47.86
| Facility | | $12.02 | $12.02 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $9.12
| Professional | | $5.89 | $5.89 | $9.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $56.23 / $85.11
| Professional | | $35.48 | $56.23 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $31.62 / $54.95
| Facility | | $12.30 | $31.62 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $7.94 / $13.49
| Professional | | $6.76 | $7.94 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $14.45 / $17.78
| Professional | | $12.02 | $14.45 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.95 / $23.44
| Professional | | $10.00 | $19.95 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.96 / $12.30
| Facility | | $10.23 | $10.96 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.30 / $25.12
| Professional | | $12.02 | $12.30 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $16.98 / $10,000.00
| Facility | | $10.00 | $16.98 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $16.60 / $10,000.00
| Professional | | $9.33 | $16.60 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.01 / $12.02 / $14.45
| Facility | | $5.01 | $12.02 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.24 / $12.59
| Professional | | $5.01 | $7.24 | $12.59 |