- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $27.54 / $72.44
| Facility | | $8.91 | $27.54 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $10.00 / $14.13
| Professional | | $8.91 | $10.00 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $50.12
| Facility | | $12.59 | $12.59 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $9.77
| Professional | | $5.89 | $5.89 | $9.77 |
- 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
- $12.88 / $30.90 / $57.54
| Facility | | $12.88 | $30.90 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $7.94 / $14.45
| Professional | | $6.76 | $7.94 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $15.14 / $18.62
| Professional | | $12.59 | $15.14 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.95 / $23.44
| Professional | | $10.00 | $19.95 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $13.80 / $19.50
| Facility | | $10.72 | $13.80 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $8.51 / $26.30
| Professional | | $8.51 | $8.51 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $17.38 / $10,000.00
| Facility | | $10.00 | $17.38 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $17.38 / $10,000.00
| Professional | | $9.33 | $17.38 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.37 / $12.59 / $15.14
| Facility | | $5.37 | $12.59 | $15.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $6.76 / $11.48
| Professional | | $5.37 | $6.76 | $11.48 |