- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.32 / $27.28 / $63.60
| Facility | | $11.32 | $27.28 | $63.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.94 / $10.71 / $11.32
| Professional | | $9.94 | $10.71 | $11.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $13.25 / $64.53
| Facility | | $13.25 | $13.25 | $64.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $5.92 / $8.01
| Professional | | $5.92 | $5.92 | $8.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.63 / $49.86 / $74.64
| Professional | | $32.63 | $49.86 | $74.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.26 / $30.63 / $63.88
| Facility | | $9.26 | $30.63 | $63.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $8.02 / $15.28
| Professional | | $6.79 | $8.02 | $15.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.90 / $16.55 / $19.61
| Professional | | $15.90 | $16.55 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.60 / $10.87 / $19.51
| Facility | | $10.60 | $10.87 | $19.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.20 / $20.46 / $30.00
| Professional | | $15.20 | $20.46 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.67 / $17.29 / $4,071.00
| Facility | | $9.67 | $17.29 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $16.88 / $4,071.00
| Professional | | $9.32 | $16.88 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.57 / $5.57 / $5.57
| Facility | | $5.57 | $5.57 | $5.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.09 / $13.25
| Professional | | $5.57 | $7.09 | $13.25 |