- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $29.51 / $69.18
| Facility | | $10.96 | $29.51 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $15.85
| Professional | | $8.91 | $10.00 | $15.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $13.49 / $54.95
| Facility | | $13.49 | $13.49 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $10.00
| Professional | | $5.89 | $5.89 | $10.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.36 / $56.23 / $77.62
| Professional | | $32.36 | $56.23 | $77.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $30.90 / $61.66
| Facility | | $13.80 | $30.90 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.32 / $15.85
| Professional | | $6.76 | $8.32 | $15.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $16.22 / $19.95
| Professional | | $13.49 | $16.22 | $19.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.95 / $19.95 / $23.44
| Professional | | $19.95 | $19.95 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $14.79 / $19.50
| Facility | | $11.48 | $14.79 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $8.51 / $28.84
| Professional | | $8.51 | $8.51 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $18.20 / $10,000.00
| Facility | | $10.00 | $18.20 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $18.20 / $10,000.00
| Professional | | $10.00 | $18.20 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.75 / $13.49 / $16.22
| Facility | | $5.75 | $13.49 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.08 / $11.48
| Professional | | $5.75 | $7.08 | $11.48 |