- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $22.87 / $1,100.53
| Facility | | $10.24 | $22.87 | $1,100.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $10.24 / $10.34
| Professional | | $9.03 | $10.24 | $10.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $58.68
| Facility | | $12.05 | $12.05 | $58.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $4.82 / $7.29
| Professional | | $4.82 | $4.82 | $7.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.55 / $39.04 / $58.44
| Professional | | $25.55 | $39.04 | $58.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.83 / $26.71 / $62.07
| Facility | | $7.83 | $26.71 | $62.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.12 / $6.75 / $17.04
| Professional | | $0.12 | $6.75 | $17.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $15.06 / $17.82
| Professional | | $14.46 | $15.06 | $17.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $10.50 / $10.85
| Facility | | $9.64 | $10.50 | $10.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $9.88 / $25.31
| Professional | | $9.64 | $9.88 | $25.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $14.31 / $4,071.00
| Facility | | $8.44 | $14.31 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $14.31 / $4,071.00
| Professional | | $8.44 | $14.31 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $12.05 / $18.07
| Facility | | $10.85 | $12.05 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $6.03 / $7.83
| Professional | | $5.05 | $6.03 | $7.83 |