- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $28.18 / $97.72
| Facility | | $9.77 | $28.18 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $7.94 / $12.02
| Professional | | $7.08 | $7.94 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.23 / $41.69
| Facility | | $10.23 | $10.23 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $5.13 / $7.94
| Professional | | $5.13 | $5.13 | $7.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.90 / $52.48 / $72.44
| Professional | | $30.90 | $52.48 | $72.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $25.70 / $47.86
| Facility | | $10.47 | $25.70 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $6.92 / $15.14
| Professional | | $5.75 | $6.92 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.30 / $15.14
| Professional | | $10.23 | $12.30 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $17.38 / $19.95
| Professional | | $8.51 | $17.38 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $9.33 / $16.60
| Facility | | $8.71 | $9.33 | $16.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $21.88
| Professional | | $14.13 | $14.13 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $16.60 / $10,000.00
| Facility | | $9.12 | $16.60 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.12 / $17.38 / $10,000.00
| Professional | | $9.12 | $17.38 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.37 / $10.23 / $12.30
| Facility | | $4.37 | $10.23 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.37 / $6.17 / $10.72
| Professional | | $4.37 | $6.17 | $10.72 |