- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.08 / $46.81 / $159.08
| Facility | | $8.08 | $46.81 | $159.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $8.11 / $22.56
| Professional | | $6.97 | $8.11 | $22.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.02 / $312.00 / $876.00
| Facility | | $0.02 | $312.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $0.28 / $9.55 / $34.17
| Professional | | $0.28 | $9.55 | $34.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.84 / $11.67 / $18.39
| Facility | | $4.84 | $11.67 | $18.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $10.63 / $25.90
| Professional | | $7.44 | $10.63 | $25.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $8.86
| Facility | | $8.86 | $8.86 | $8.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $11.19 / $26.29
| Professional | | $8.50 | $11.19 | $26.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $29.00 / $801.00
| Professional | | $15.00 | $29.00 | $801.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.98 / $33.83 / $177.00
| Facility | | $17.98 | $33.83 | $177.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $62.33 / $179.00 / $179.00
| Professional | | $62.33 | $179.00 | $179.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.11 / $11.11 / $11.11
| Professional | | $11.11 | $11.11 | $11.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.40 / $9.80 / $17.39
| Facility | | $7.40 | $9.80 | $17.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $11.65 / $21.39
| Professional | | $8.69 | $11.65 | $21.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $8.76 / $20.70
| Professional | | $6.44 | $8.76 | $20.70 |