- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $3.00 / $29.64 / $54.27
| Facility | | $3.00 | $29.64 | $54.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.00 / $20.05 / $53.11
| Professional | | $3.00 | $20.05 | $53.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.88 / $39.29 / $818.35
| Facility | | $25.88 | $39.29 | $818.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $13.47 / $28.32
| Professional | | $9.84 | $13.47 | $28.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.59 / $24.29 / $53.80
| Facility | | $20.59 | $24.29 | $53.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.09 / $17.86 / $18.72
| Professional | | $13.09 | $17.86 | $18.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.35 / $53.00 / $8,090.00
| Facility | | $14.35 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $13.84 / $19.57
| Professional | | $7.70 | $13.84 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.54 / $14.75 / $48.97
| Professional | | $12.54 | $14.75 | $48.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.08 / $72.23 / $75.56
| Facility | | $31.08 | $72.23 | $75.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.88 / $25.88 / $70.00
| Facility | | $25.88 | $25.88 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $13.51 / $28.32
| Professional | | $7.84 | $13.51 | $28.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.83 / $9.84 / $10.82
| Facility | | $8.83 | $9.84 | $10.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $13.51 / $27.24
| Professional | | $7.84 | $13.51 | $27.24 |