- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.69 / $42.90 / $99.98
| Facility | | $14.69 | $42.90 | $99.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $10.41 / $11.03
| Professional | | $10.08 | $10.41 | $11.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.55 / $20.13 / $60.00
| Facility | | $10.55 | $20.13 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $11.57 / $28.18
| Professional | | $6.94 | $11.57 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.57 / $32.76 / $57.28
| Facility | | $20.57 | $32.76 | $57.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.88 / $10.88 / $14.81
| Professional | | $10.88 | $10.88 | $14.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $17.19 / $39.54
| Facility | | $8.09 | $17.19 | $39.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $12.78 / $19.43
| Professional | | $6.87 | $12.78 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $19.78
| Professional | | $16.80 | $16.80 | $19.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.57 / $16.04 / $43.05
| Professional | | $11.57 | $16.04 | $43.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.66 / $14.49 / $83.84
| Facility | | $12.66 | $14.49 | $83.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.13 / $60.00 / $60.00
| Facility | | $20.13 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.55 / $7.76 / $24.42
| Professional | | $5.55 | $7.76 | $24.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.55 / $9.44 / $22.05
| Professional | | $5.55 | $9.44 | $22.05 |