- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.17 / $47.64 / $74.25
| Facility | | $10.17 | $47.64 | $74.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $10.71 / $19.60
| Professional | | $9.58 | $10.71 | $19.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.54 / $72.12 / $8,639.91
| Facility | | $55.54 | $72.12 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $9.34 / $9.34
| Professional | | $9.34 | $9.34 | $9.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.88 / $15.96 / $40.20
| Facility | | $7.88 | $15.96 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $21.16
| Professional | | $7.46 | $13.63 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $9.58 / $16.22
| Professional | | $5.51 | $9.58 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.45 / $38.58 / $70.00
| Facility | | $19.45 | $38.58 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $10.50 / $10.50
| Professional | | $7.19 | $10.50 | $10.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $35.63 / $77.26
| Facility | | $10.18 | $35.63 | $77.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $10.79 / $58.00
| Professional | | $9.34 | $10.79 | $58.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $18.22 / $40.20
| Facility | | $8.02 | $18.22 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $21.16
| Professional | | $7.46 | $13.63 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $11.98 / $11.98
| Facility | | $11.98 | $11.98 | $11.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.54 / $11.98 / $15.68
| Professional | | $10.54 | $11.98 | $15.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.39 / $7.43 / $21.92
| Professional | | $5.39 | $7.43 | $21.92 |