- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.33 / $12.76 / $49.60
| Facility | | $11.33 | $12.76 | $49.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.44 / $14.05
| Professional | | $8.13 | $11.44 | $14.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $10.28 / $6,948.22
| Facility | | $9.46 | $10.28 | $6,948.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $1.20 / $1.20 / $1.20
| Professional | | $1.20 | $1.20 | $1.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.00 / $14.33 / $14.33
| Facility | | $7.00 | $14.33 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.33 / $14.33 / $16.42
| Professional | | $14.33 | $14.33 | $16.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $80.00
| Facility | | $80.00 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.43 / $13.43 / $18.00
| Facility | | $13.43 | $13.43 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $11.42 / $11.42
| Professional | | $11.42 | $11.42 | $11.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.64 / $90.00 / $90.00
| Facility | | $27.64 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $111.30 / $115.75 / $121.65
| Professional | | $111.30 | $115.75 | $121.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.33 / $18.29 / $27.89
| Facility | | $11.33 | $18.29 | $27.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.14 / $13.14 / $13.14
| Professional | | $13.14 | $13.14 | $13.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $19.64 / $20.97
| Professional | | $12.22 | $19.64 | $20.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.45 / $18.41 / $27.89
| Facility | | $11.45 | $18.41 | $27.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.42 / $11.42 / $11.42
| Professional | | $11.42 | $11.42 | $11.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $9.24 / $16.38
| Professional | | $7.76 | $9.24 | $16.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $7.35 / $9.92
| Professional | | $7.35 | $7.35 | $9.92 |