- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $54.95 / $100.00
| Facility | | $14.79 | $54.95 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $9.55 / $31.62
| Professional | | $7.94 | $9.55 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $60.26
| Facility | | $9.77 | $15.14 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.72 / $22.39
| Professional | | $6.46 | $10.72 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $26.30 / $42.66
| Facility | | $21.38 | $26.30 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $13.49
| Professional | | $10.00 | $10.00 | $13.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $16.98 / $41.69
| Facility | | $8.32 | $16.98 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $13.18 / $18.20
| Professional | | $7.76 | $13.18 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.50 / $3,630.78 / $9,772.37
| Facility | | $19.50 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $18.20
| Professional | | $15.49 | $15.49 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $31.62
| Professional | | $10.72 | $10.72 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $22.91 / $87.10
| Facility | | $13.49 | $22.91 | $87.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $60.26
| Facility | | $9.77 | $15.14 | $60.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.72 / $22.39
| Professional | | $6.46 | $10.72 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $12.59 / $25.12
| Facility | | $9.55 | $12.59 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $10.72 / $16.22
| Professional | | $9.55 | $10.72 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $10.72 / $17.38
| Facility | | $6.17 | $10.72 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $8.71 / $25.12
| Professional | | $5.37 | $8.71 | $25.12 |