- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $25.51 / $65.69
| Facility | | $8.27 | $25.51 | $65.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $17.36
| Professional | | $8.27 | $8.27 | $17.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $25.07 / $70.00
| Facility | | $13.14 | $25.07 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $14.40 / $30.09
| Professional | | $6.92 | $14.40 | $30.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.92 / $38.74 / $70.18
| Facility | | $15.92 | $38.74 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.12 / $13.55 / $14.27
| Professional | | $11.12 | $13.55 | $14.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $21.41 / $49.25
| Facility | | $9.61 | $21.41 | $49.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $13.37 / $24.41
| Professional | | $8.74 | $13.37 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.89 / $3,472.00 / $9,239.00
| Facility | | $32.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.41 / $19.97 / $51.39
| Professional | | $14.41 | $19.97 | $51.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.07 / $70.00 / $70.00
| Facility | | $25.07 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.65 / $24.17
| Professional | | $5.25 | $8.65 | $24.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.97 / $14.41 / $17.29
| Facility | | $12.97 | $14.41 | $17.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.65 / $24.17
| Professional | | $5.25 | $8.65 | $24.17 |