- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $23.35 / $23.35
| Facility | | $8.38 | $23.35 | $23.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.53 / $18.20 / $27.80
| Professional | | $7.53 | $18.20 | $27.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.58 / $26.27 / $39.28
| Facility | | $8.58 | $26.27 | $39.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $27.73 / $96.83
| Professional | | $9.35 | $27.73 | $96.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.44 / $20.97 / $27.18
| Facility | | $11.44 | $20.97 | $27.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.29 / $28.81 / $54.16
| Professional | | $12.29 | $28.81 | $54.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $23.98 / $52.77
| Professional | | $9.56 | $23.98 | $52.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.41 / $21.98 / $8,090.00
| Facility | | $9.41 | $21.98 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.08 / $22.68 / $39.22
| Professional | | $13.08 | $22.68 | $39.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.83 / $24.89 / $58.96
| Professional | | $9.83 | $24.89 | $58.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $159.65 / $162.29 / $163.78
| Facility | | $159.65 | $162.29 | $163.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.69 / $16.89 / $23.13
| Professional | | $16.69 | $16.89 | $23.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.28 / $39.28 / $39.28
| Facility | | $39.28 | $39.28 | $39.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.63 / $39.20 / $129.12
| Professional | | $21.63 | $39.20 | $129.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.67 / $30.61 / $58.96
| Professional | | $19.67 | $30.61 | $58.96 |