- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.51 / $31.50 / $74.26
| Facility | | $9.51 | $31.50 | $74.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $12.21 / $19.22
| Professional | | $9.51 | $12.21 | $19.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.77 / $27.44 / $81.00
| Facility | | $12.77 | $27.44 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.36 / $14.00 / $30.97
| Professional | | $8.36 | $14.00 | $30.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.28 / $38.79 / $68.75
| Facility | | $18.28 | $38.79 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.77 / $13.16 / $13.86
| Professional | | $12.77 | $13.16 | $13.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $20.82 / $47.84
| Facility | | $9.77 | $20.82 | $47.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $13.11 / $23.50
| Professional | | $8.33 | $13.11 | $23.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.32 / $3,472.00 / $9,239.00
| Facility | | $36.32 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.07 / $20.07 / $23.62
| Professional | | $20.07 | $20.07 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.00 / $19.39 / $49.95
| Professional | | $14.00 | $19.39 | $49.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.75 / $14.75 / $14.75
| Facility | | $14.75 | $14.75 | $14.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.44 / $81.00 / $81.00
| Facility | | $27.44 | $81.00 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $8.40 / $26.25
| Professional | | $6.72 | $8.40 | $26.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $8.40 / $26.68
| Professional | | $6.72 | $8.40 | $26.68 |