- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $27.54 / $45.71
| Facility | | $10.00 | $27.54 | $45.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.00 / $70.79
| Professional | | $7.08 | $10.00 | $70.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $223.87
| Facility | | $9.77 | $15.14 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.72 / $22.39
| Professional | | $6.46 | $10.72 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.38 / $26.30 / $42.66
| Facility | | $21.38 | $26.30 | $42.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $13.80
| Professional | | $10.00 | $10.00 | $13.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $16.98 / $41.69
| Facility | | $8.32 | $16.98 | $41.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $12.88 / $18.20
| Professional | | $7.76 | $12.88 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $3,630.78 / $9,772.37
| Facility | | $15.49 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.49 / $15.49 / $18.20
| Professional | | $15.49 | $15.49 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.72 / $10.72 / $32.36
| Professional | | $10.72 | $10.72 | $32.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $15.14 / $223.87
| Facility | | $9.77 | $15.14 | $223.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.72 / $22.39
| Professional | | $6.46 | $10.72 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.17 / $10.72 / $17.38
| Facility | | $6.17 | $10.72 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.55 / $25.70
| Professional | | $5.25 | $9.55 | $25.70 |