- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $34.31 / $78.43
| Facility | | $13.89 | $34.31 | $78.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $13.89 / $21.66
| Professional | | $12.26 | $13.89 | $21.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $16.34 / $79.58
| Facility | | $16.34 | $16.34 | $79.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $6.54 / $9.88
| Professional | | $6.54 | $6.54 | $9.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.15 / $43.03 / $64.41
| Professional | | $28.15 | $43.03 | $64.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $30.27 / $74.22
| Facility | | $11.41 | $30.27 | $74.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.29 / $8.33 / $19.00
| Professional | | $6.29 | $8.33 | $19.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.61 / $20.43 / $24.18
| Professional | | $19.61 | $20.43 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $8.17 / $13.89
| Facility | | $7.97 | $8.17 | $13.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $13.07 / $25.00
| Professional | | $9.52 | $13.07 | $25.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.44 / $19.00 / $4,071.00
| Facility | | $11.44 | $19.00 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.44 / $19.39 / $4,071.00
| Professional | | $11.44 | $19.39 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.72 / $8.17 / $16.34
| Facility | | $5.72 | $8.17 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $7.19 / $10.50
| Professional | | $5.58 | $7.19 | $10.50 |