- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $13.94 / $77.65
| Facility | | $7.56 | $13.94 | $77.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $8.25 / $13.01
| Professional | | $6.97 | $8.25 | $13.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.87 / $7.29 / $16.50
| Professional | | $5.87 | $7.29 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $10.14 / $10.14
| Facility | | $10.14 | $10.14 | $10.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $10.14 / $11.24
| Professional | | $10.14 | $10.14 | $11.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $14,648.00
| Facility | | $8.86 | $8.86 | $14,648.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.78 / $13.14 / $29.95
| Professional | | $7.78 | $13.14 | $29.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.06 / $10.15 / $332.00
| Facility | | $6.06 | $10.15 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.73 / $11.12 / $16.32
| Professional | | $8.73 | $11.12 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $5.05 / $5.05
| Facility | | $5.05 | $5.05 | $5.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $9.13 / $15.66
| Professional | | $5.05 | $9.13 | $15.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $555.00 / $74,999.25
| Facility | | $8.86 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $12.48 / $25.94
| Professional | | $8.24 | $12.48 | $25.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $9.33 / $20.26
| Professional | | $7.06 | $9.33 | $20.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $10.74 / $35.54
| Facility | | $10.74 | $10.74 | $35.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $10.74 / $19.84
| Professional | | $7.25 | $10.74 | $19.84 |