- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.41 / $56.60 / $107.53
| Facility | | $8.41 | $56.60 | $107.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $10.24 / $19.62
| Professional | | $6.57 | $10.24 | $19.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.72 / $37.72 / $98.10
| Facility | | $37.72 | $37.72 | $98.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.82 / $10.05 / $28.97
| Professional | | $4.82 | $10.05 | $28.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.23 / $12.05 / $12.05
| Facility | | $7.23 | $12.05 | $12.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $12.05 / $12.05
| Professional | | $8.80 | $12.05 | $12.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.78 / $10.50 / $92.39
| Facility | | $5.78 | $10.50 | $92.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $54.21 / $181.86
| Professional | | $6.75 | $54.21 | $181.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.71 / $49.05 / $332.00
| Facility | | $10.71 | $49.05 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.81 / $22.26 / $70.56
| Professional | | $13.81 | $22.26 | $70.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.30 / $7.30 / $7.30
| Facility | | $7.30 | $7.30 | $7.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $10.61 / $39.54
| Professional | | $7.30 | $10.61 | $39.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.95 / $14.85 / $73.59
| Facility | | $7.95 | $14.85 | $73.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.78 / $68.12 / $555.00
| Facility | | $5.78 | $68.12 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.51 / $54.21
| Professional | | $7.83 | $11.51 | $54.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $22.64
| Professional | | $5.05 | $7.23 | $22.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.67 / $43.39 / $43.39
| Facility | | $16.67 | $43.39 | $43.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.55 / $12.60 / $45.35
| Professional | | $7.55 | $12.60 | $45.35 |