- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.32 / $40.35 / $121.75
| Facility | | $11.32 | $40.35 | $121.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.83 / $11.32 / $27.85
| Professional | | $9.83 | $11.32 | $27.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $13.10 / $63.80
| Facility | | $13.10 | $13.10 | $63.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $7.86 / $7.92
| Professional | | $7.86 | $7.86 | $7.92 |
- 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
- $9.15 / $30.63 / $63.88
| Facility | | $9.15 | $30.63 | $63.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.79 / $9.22 / $14.87
| Professional | | $6.79 | $9.22 | $14.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.72 / $16.38 / $19.39
| Professional | | $15.72 | $16.38 | $19.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.50 / $10.50 / $20.95
| Facility | | $10.50 | $10.50 | $20.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $20.46 / $30.00
| Professional | | $9.61 | $20.46 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.56 / $16.88 / $4,071.00
| Facility | | $9.56 | $16.88 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $16.88 / $4,071.00
| Professional | | $9.56 | $16.88 | $4,071.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $13.10 / $24.54
| Facility | | $13.10 | $13.10 | $24.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.73 / $17.52
| Professional | | $5.50 | $7.73 | $17.52 |