- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.66 / $34.38 / $76.39
| Facility | | $6.66 | $34.38 | $76.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $7.77 / $66.75
| Professional | | $6.66 | $7.77 | $66.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.00 / $30.95 / $128.58
| Facility | | $20.00 | $30.95 | $128.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.85 / $23.87 / $56.53
| Professional | | $5.85 | $23.87 | $56.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.78 / $59.28 / $107.40
| Facility | | $12.78 | $59.28 | $107.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $25.45 / $26.80
| Professional | | $8.94 | $25.45 | $26.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.17 / $18.91 / $37.52
| Facility | | $8.17 | $18.91 | $37.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $16.23 / $41.30
| Professional | | $6.32 | $16.23 | $41.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.48 / $3,472.00 / $9,239.00
| Facility | | $20.48 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.21 / $39.21 / $46.13
| Professional | | $39.21 | $39.21 | $46.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.07 / $27.07 / $87.17
| Professional | | $27.07 | $27.07 | $87.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $47.10 / $128.58 / $128.58
| Facility | | $47.10 | $128.58 | $128.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $13.54 / $16.66
| Professional | | $5.25 | $13.54 | $16.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.36 / $27.07 / $32.47
| Facility | | $24.36 | $27.07 | $32.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $14.44 / $51.60
| Professional | | $5.25 | $14.44 | $51.60 |