- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $29.51 / $72.44
| Facility | | $10.96 | $29.51 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $8.91 / $16.60
| Professional | | $8.91 | $8.91 | $16.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $47.86
| Facility | | $12.02 | $12.02 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $5.89 / $9.33
| Professional | | $5.89 | $5.89 | $9.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.48 / $61.66 / $85.11
| Professional | | $35.48 | $61.66 | $85.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $30.90 / $54.95
| Facility | | $12.30 | $30.90 | $54.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.71 / $13.49
| Professional | | $6.76 | $8.71 | $13.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $14.45 / $17.78
| Professional | | $12.02 | $14.45 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $20.42 / $23.44
| Professional | | $10.00 | $20.42 | $23.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $10.96 / $19.50
| Facility | | $10.23 | $10.96 | $19.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $25.12
| Professional | | $14.13 | $14.13 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.98 / $10,000.00
| Facility | | $10.72 | $16.98 | $10,000.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.60 / $10,000.00
| Professional | | $10.00 | $16.60 | $10,000.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.03 / $12.02 / $14.45
| Facility | | $6.03 | $12.02 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $7.24 / $12.59
| Professional | | $5.01 | $7.24 | $12.59 |