- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $20.48 / $393.02
| Facility | | $8.11 | $20.48 | $393.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.73 / $51.60
| Professional | | $8.11 | $12.73 | $51.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.81 / $11.55 / $12.13
| Professional | | $10.81 | $11.55 | $12.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $10.55 / $22.49
| Professional | | $8.32 | $10.55 | $22.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $13.74 / $13.74
| Facility | | $13.74 | $13.74 | $13.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.74 / $13.74 / $13.74
| Professional | | $13.74 | $13.74 | $13.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $13.05 / $13.05
| Facility | | $13.05 | $13.05 | $13.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.34 / $17.10 / $39.03
| Professional | | $8.34 | $17.10 | $39.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $15.00 / $319.00
| Facility | | $15.00 | $15.00 | $319.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.57 / $18.04 / $23.15
| Professional | | $12.57 | $18.04 | $23.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $10.67 / $12.27
| Facility | | $5.59 | $10.67 | $12.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $14.30 / $21.03
| Professional | | $8.07 | $14.30 | $21.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.25 / $25.25 / $25.25
| Professional | | $25.25 | $25.25 | $25.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.05 / $13.05 / $555.00
| Facility | | $13.05 | $13.05 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $19.69 / $60.00
| Professional | | $10.00 | $19.69 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.08 / $12.07 / $36.26
| Professional | | $9.08 | $12.07 | $36.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.59 / $10.67 / $13.73
| Facility | | $5.59 | $10.67 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $14.87 / $29.02
| Professional | | $10.67 | $14.87 | $29.02 |