- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $9.00 / $125.45
| Facility | | $3.00 | $9.00 | $125.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $3.99 / $45.25
| Professional | | $3.00 | $3.99 | $45.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.21 / $19.16 / $40.85
| Professional | | $15.21 | $19.16 | $40.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.68 / $23.68 / $23.68
| Facility | | $23.68 | $23.68 | $23.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.68 / $23.68 / $23.68
| Professional | | $23.68 | $23.68 | $23.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.74 / $15.86 / $39.95
| Professional | | $13.74 | $15.86 | $39.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.00 / $28.01 / $319.00
| Facility | | $5.00 | $28.01 | $319.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $11.50 / $34.59
| Professional | | $8.50 | $11.50 | $34.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.66 / $8.66 / $8.66
| Facility | | $8.66 | $8.66 | $8.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $10.39 / $18.36
| Professional | | $8.66 | $10.39 | $18.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $555.00 / $597.00 / $74,999.25
| Facility | | $555.00 | $597.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.00 / $20.02 / $67.69
| Professional | | $4.00 | $20.02 | $67.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $18.12 / $46.30
| Professional | | $11.34 | $18.12 | $46.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.92 / $17.92 / $22.75
| Facility | | $17.92 | $17.92 | $22.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $17.92 / $22.75
| Professional | | $13.61 | $17.92 | $22.75 |