- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.32 / $20.42 / $30.35
| Facility | | $16.32 | $20.42 | $30.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $12.93 / $44.76
| Professional | | $11.16 | $12.93 | $44.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.26 / $35.39 / $37.43
| Facility | | $29.26 | $35.39 | $37.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.62 / $55.52
| Professional | | $5.62 | $5.62 | $55.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $33.26 / $34.57
| Facility | | $10.68 | $33.26 | $34.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.85 / $44.23 / $67.84
| Facility | | $37.85 | $44.23 | $67.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $36.65 / $41.65
| Professional | | $15.69 | $36.65 | $41.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $10.89 / $16.32
| Facility | | $10.14 | $10.89 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $11.16 / $100.00
| Facility | | $10.14 | $11.16 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $12.50 / $33.40
| Professional | | $7.89 | $12.50 | $33.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.81 / $22.31 / $85.00
| Professional | | $6.81 | $22.31 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $10.89 / $16.32
| Facility | | $10.14 | $10.89 | $16.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.96 / $33.26 / $83.44
| Professional | | $15.96 | $33.26 | $83.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.22 / $50.00 / $100.00
| Facility | | $27.22 | $50.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $7.51 / $11.24
| Professional | | $7.21 | $7.51 | $11.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.72 / $11.72 / $28.98
| Professional | | $11.72 | $11.72 | $28.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.72 / $54.00 / $74.31
| Professional | | $11.72 | $54.00 | $74.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.81 / $10.89 / $33.40
| Professional | | $6.81 | $10.89 | $33.40 |