- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.78 / $54.19 / $102.00
| Facility | | $9.78 | $54.19 | $102.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $11.51 / $15.46
| Professional | | $7.99 | $11.51 | $15.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.51 / $7.73 / $8.94
| Professional | | $4.51 | $7.73 | $8.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.97 / $42.50 / $77.02
| Facility | | $15.97 | $42.50 | $77.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.83 / $11.24
| Professional | | $5.00 | $6.83 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.59 / $19.14 / $78.70
| Facility | | $11.59 | $19.14 | $78.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $13.52 / $20.61
| Professional | | $10.30 | $13.52 | $20.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $12.75 / $12.88
| Facility | | $12.75 | $12.75 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $28.29 / $64.77
| Facility | | $9.00 | $28.29 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.39 / $21.88
| Professional | | $6.83 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.78 / $72.00 / $72.00
| Facility | | $54.78 | $72.00 | $72.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $18.89 / $21.46
| Professional | | $11.59 | $18.89 | $21.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $12.88 / $19.09
| Facility | | $10.30 | $12.88 | $19.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $12.88 / $17.87
| Professional | | $11.59 | $12.88 | $17.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $12.88 / $32.40
| Facility | | $10.30 | $12.88 | $32.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $9.90 / $18.68
| Professional | | $6.83 | $9.90 | $18.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.37 / $10.52
| Professional | | $5.41 | $7.37 | $10.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.36 / $12.88
| Professional | | $5.01 | $6.36 | $12.88 |