- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $66.77 / $120.58
| Facility | | $11.82 | $66.77 | $120.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $11.55 / $17.73
| Professional | | $10.43 | $11.55 | $17.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.91 / $13.91 / $67.73
| Facility | | $13.91 | $13.91 | $67.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $5.92 / $8.41
| Professional | | $5.92 | $5.92 | $8.41 |
- 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
- $9.72 / $30.63 / $63.88
| Facility | | $9.72 | $30.63 | $63.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.22 / $16.11
| Professional | | $7.08 | $9.22 | $16.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.69 / $17.39 / $20.59
| Professional | | $16.69 | $17.39 | $20.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.13 / $15.06 / $19.51
| Facility | | $11.13 | $15.06 | $19.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $19.00 / $30.00
| Professional | | $8.44 | $19.00 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.15 / $16.84 / $70.41
| Facility | | $10.15 | $16.84 | $70.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.15 / $16.89 / $4,071.00
| Professional | | $10.15 | $16.89 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.35 / $13.91 / $20.62
| Facility | | $8.35 | $13.91 | $20.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $7.23 / $13.91
| Professional | | $5.84 | $7.23 | $13.91 |