- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $47.86 / $338.84
| Facility | | $16.60 | $47.86 | $338.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $14.13
| Professional | | $8.91 | $10.00 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $51.29
| Facility | | $12.88 | $12.88 | $51.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $6.31 / $10.00
| Professional | | $6.31 | $6.31 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.02 / $60.26 / $91.20
| Professional | | $38.02 | $60.26 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $31.62 / $57.54
| Facility | | $13.18 | $31.62 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.24 / $8.71 / $14.79
| Professional | | $7.24 | $8.71 | $14.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $15.49 / $19.05
| Professional | | $12.88 | $15.49 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $21.38 / $25.12
| Professional | | $10.72 | $21.38 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $11.75 / $15.14
| Facility | | $10.96 | $11.75 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $15.14 / $26.92
| Professional | | $4.90 | $15.14 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $19.95 / $10,000.00
| Facility | | $11.48 | $19.95 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $19.95 / $10,000.00
| Professional | | $11.48 | $19.95 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $12.88 / $15.49
| Facility | | $5.37 | $12.88 | $15.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.76 / $13.49
| Professional | | $5.37 | $7.76 | $13.49 |