- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.38 / $57.34 / $64.40
| Facility | | $12.38 | $57.34 | $64.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $12.22 / $72.00
| Professional | | $8.00 | $12.22 | $72.00 |
- 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
- $11.93 / $11.93 / $11.93
| Professional | | $11.93 | $11.93 | $11.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.05 / $19.88 / $51.07
| Facility | | $10.05 | $19.88 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $17.22 / $22.74
| Professional | | $7.46 | $17.22 | $22.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.79 / $9.02 / $20.70
| Professional | | $3.79 | $9.02 | $20.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $54.27 / $59.56 / $83.01
| Facility | | $54.27 | $59.56 | $83.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.30 / $43.42 / $64.40
| Facility | | $14.30 | $43.42 | $64.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $12.38 / $72.00
| Professional | | $9.63 | $12.38 | $72.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $20.36 / $51.07
| Facility | | $10.24 | $20.36 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $17.22 / $21.68
| Professional | | $7.46 | $17.22 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.31 / $14.31 / $14.31
| Professional | | $14.31 | $14.31 | $14.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $9.23 / $27.98
| Professional | | $6.75 | $9.23 | $27.98 |