- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $91.20 / $389.05
| Facility | | $13.80 | $91.20 | $389.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $8.51 / $11.48
| Professional | | $7.08 | $8.51 | $11.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $9.55 / $38.02
| Facility | | $9.55 | $9.55 | $38.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.68 / $4.68 / $7.24
| Professional | | $4.68 | $4.68 | $7.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.18 / $47.86 / $66.07
| Professional | | $28.18 | $47.86 | $66.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $24.55 / $42.66
| Facility | | $9.55 | $24.55 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.31 / $10.72
| Professional | | $5.37 | $6.31 | $10.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $11.48 / $14.13
| Professional | | $9.55 | $11.48 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $15.85 / $18.62
| Professional | | $7.76 | $15.85 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $8.51 / $15.14
| Facility | | $8.13 | $8.51 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $19.95
| Professional | | $10.72 | $10.72 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $14.79 / $10,000.00
| Facility | | $8.51 | $14.79 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $14.79 / $10,000.00
| Professional | | $8.51 | $14.79 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.98 / $9.55 / $11.48
| Facility | | $3.98 | $9.55 | $11.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.98 / $5.62 / $10.00
| Professional | | $3.98 | $5.62 | $10.00 |