- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $33.88 / $93.33
| Facility | | $10.96 | $33.88 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $12.02 / $16.98
| Professional | | $10.96 | $12.02 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $61.66
| Facility | | $15.49 | $15.49 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $7.59 / $12.02
| Professional | | $7.59 | $7.59 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.71 / $79.43 / $109.65
| Professional | | $45.71 | $79.43 | $109.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $39.81 / $69.18
| Facility | | $15.85 | $39.81 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $10.47 / $17.78
| Professional | | $8.71 | $10.47 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $18.62 / $22.91
| Professional | | $15.49 | $18.62 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $25.70 / $30.20
| Professional | | $12.88 | $25.70 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.18 / $16.60 / $18.20
| Facility | | $13.18 | $16.60 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $18.20 / $32.36
| Professional | | $14.79 | $18.20 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $21.88 / $10,000.00
| Facility | | $12.88 | $21.88 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $21.88 / $10,000.00
| Professional | | $12.02 | $21.88 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $15.49 / $18.62
| Facility | | $6.46 | $15.49 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $9.33 / $16.22
| Professional | | $6.46 | $9.33 | $16.22 |