- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $25.12 / $61.66
| Facility | | $7.08 | $25.12 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.94 / $17.78
| Professional | | $7.08 | $7.94 | $17.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $40.74
| Facility | | $10.23 | $10.23 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $5.01 / $7.76
| Professional | | $5.01 | $5.01 | $7.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.20 / $47.86 / $72.44
| Professional | | $30.20 | $47.86 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $24.55 / $45.71
| Facility | | $10.47 | $24.55 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.76 / $11.75
| Professional | | $5.75 | $6.76 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.30 / $15.14
| Professional | | $10.23 | $12.30 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $16.98 / $19.95
| Professional | | $8.51 | $16.98 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $10.96 / $12.02
| Facility | | $8.71 | $10.96 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $12.02 / $21.38
| Professional | | $4.90 | $12.02 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $15.85 / $10,000.00
| Facility | | $9.12 | $15.85 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $15.85 / $10,000.00
| Professional | | $9.12 | $15.85 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.27 / $10.23 / $12.30
| Facility | | $4.27 | $10.23 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.27 / $6.17 / $10.72
| Professional | | $4.27 | $6.17 | $10.72 |