- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.28 / $42.25 / $227.54
| Facility | | $10.28 | $42.25 | $227.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $10.78 / $16.14
| Professional | | $9.67 | $10.78 | $16.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $58.88
| Facility | | $12.09 | $12.09 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $4.84 / $7.31
| Professional | | $4.84 | $4.84 | $7.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.63 / $39.17 / $58.64
| Professional | | $25.63 | $39.17 | $58.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.86 / $26.71 / $62.07
| Facility | | $7.86 | $26.71 | $62.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.12 / $6.77 / $17.04
| Professional | | $0.12 | $6.77 | $17.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.51 / $15.11 / $17.89
| Professional | | $14.51 | $15.11 | $17.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $10.50 / $10.88
| Facility | | $9.67 | $10.50 | $10.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $9.91 / $25.39
| Professional | | $9.67 | $9.91 | $25.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $14.35 / $4,071.00
| Facility | | $8.46 | $14.35 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.46 / $14.35 / $4,071.00
| Professional | | $8.46 | $14.35 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $14.51 / $14.51
| Facility | | $14.51 | $14.51 | $14.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $5.44 / $9.07
| Professional | | $5.08 | $5.44 | $9.07 |