- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $19.05 / $30.20
| Facility | | $10.00 | $19.05 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.94 / $14.45
| Professional | | $7.08 | $7.94 | $14.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $26.30
| Facility | | $10.00 | $10.00 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $5.13 / $22.91
| Professional | | $4.90 | $5.13 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $10.00 / $10.00
| Facility | | $6.03 | $10.00 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $10.00 / $10.00
| Professional | | $7.24 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $23.99 / $109.65
| Facility | | $7.59 | $23.99 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $14.45 / $64.57
| Professional | | $6.61 | $14.45 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $12.88 / $34.67
| Facility | | $8.51 | $12.88 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $7.08 / $19.50
| Professional | | $4.68 | $7.08 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $9.55 / $10.47
| Professional | | $6.03 | $9.55 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $19.05 / $50,118.72
| Facility | | $7.94 | $19.05 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $8.91 / $12.59
| Facility | | $6.03 | $8.91 | $12.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.17 / $6.03 / $15.14
| Professional | | $4.17 | $6.03 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $11.48 / $19.50
| Facility | | $5.50 | $11.48 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $10.00 / $23.44
| Professional | | $6.17 | $10.00 | $23.44 |