- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $35.61 / $57.29
| Facility | | $10.61 | $35.61 | $57.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.09 / $11.10 / $63.00
| Professional | | $10.09 | $11.10 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $8.52 / $8.52
| Professional | | $8.52 | $8.52 | $8.52 |
- 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
- $10.22 / $10.22 / $10.22
| Professional | | $10.22 | $10.22 | $10.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $17.04 / $43.46
| Facility | | $8.61 | $17.04 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $14.92 / $21.16
| Professional | | $7.46 | $14.92 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $10.48 / $17.73
| Professional | | $6.03 | $10.48 | $17.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.53 / $34.15 / $77.95
| Facility | | $30.53 | $34.15 | $77.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $8.52 / $8.52
| Professional | | $8.52 | $8.52 | $8.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.61 / $33.42 / $80.22
| Facility | | $10.61 | $33.42 | $80.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.35 / $12.58 / $62.00
| Professional | | $10.35 | $12.58 | $62.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $18.22 / $43.46
| Facility | | $8.77 | $18.22 | $43.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $14.92 / $21.16
| Professional | | $7.46 | $14.92 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.08 / $13.08 / $13.08
| Professional | | $13.08 | $13.08 | $13.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.90 / $8.52 / $22.79
| Professional | | $5.90 | $8.52 | $22.79 |