- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.10 / $32.89 / $153.36
| Facility | | $7.10 | $32.89 | $153.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $7.10 / $10.52
| Professional | | $6.09 | $7.10 | $10.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.22 / $39.24 / $8,459.92
| Facility | | $30.22 | $39.24 | $8,459.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $6.84 / $8.77
| Professional | | $6.84 | $6.84 | $8.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $13.24 / $29.34
| Facility | | $8.32 | $13.24 | $29.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $7.22 / $17.11
| Professional | | $4.59 | $7.22 | $17.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.42 / $18.42 / $18.42
| Facility | | $18.42 | $18.42 | $18.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $11.49 / $14.82
| Professional | | $6.14 | $11.49 | $14.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.19 / $26.08 / $149.10
| Facility | | $8.19 | $26.08 | $149.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $7.40 / $36.22
| Professional | | $6.31 | $7.40 | $36.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.70 / $19.70 / $150.40
| Professional | | $19.70 | $19.70 | $150.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.50 / $14.59 / $29.34
| Facility | | $8.50 | $14.59 | $29.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $7.90 / $17.00
| Professional | | $4.59 | $7.90 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $8.77 / $8.77
| Facility | | $8.77 | $8.77 | $8.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $8.77 / $8.94
| Professional | | $8.77 | $8.77 | $8.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.68 / $5.25 / $10.96
| Professional | | $3.68 | $5.25 | $10.96 |