- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $35.00 / $56.27
| Facility | | $10.42 | $35.00 | $56.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $11.49 / $22.92
| Professional | | $10.17 | $11.49 | $22.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.90 / $84.28 / $8,639.91
| Facility | | $64.90 | $84.28 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $10.03 / $10.03
| Professional | | $10.03 | $10.03 | $10.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.14 / $42.38
| Facility | | $8.46 | $17.14 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $8.11 / $17.43
| Professional | | $5.92 | $8.11 | $17.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $35.00 / $57.41
| Facility | | $10.94 | $35.00 | $57.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $11.49 / $53.15
| Professional | | $9.27 | $11.49 | $53.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $19.55 / $42.38
| Facility | | $8.61 | $19.55 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $12.87
| Facility | | $12.87 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $12.87 / $18.32
| Professional | | $11.33 | $12.87 | $18.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.98 / $23.55
| Professional | | $5.41 | $7.98 | $23.55 |