- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.76 / $11.22 / $21.12
| Facility | | $6.76 | $11.22 | $21.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $16.22 / $24.01
| Professional | | $8.11 | $16.22 | $24.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.23 / $16.04 / $22.73
| Professional | | $11.23 | $16.04 | $22.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.04 / $33.04 / $33.04
| Facility | | $33.04 | $33.04 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.04 / $33.04 / $33.04
| Professional | | $33.04 | $33.04 | $33.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $16.00 / $16.00
| Facility | | $16.00 | $16.00 | $16.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.80 / $12.80 / $12.80
| Professional | | $12.80 | $12.80 | $12.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.88 / $24.76 / $332.00
| Facility | | $16.88 | $24.76 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.87 / $22.73 / $33.64
| Professional | | $15.87 | $22.73 | $33.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $14.44
| Facility | | $13.53 | $13.53 | $14.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.94 / $15.15 / $22.95
| Professional | | $10.94 | $15.15 | $22.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.00 / $16.00 / $74,999.25
| Facility | | $16.00 | $16.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $12.80 / $35.42
| Professional | | $11.48 | $12.80 | $35.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.18 / $22.40 / $53.62
| Professional | | $12.18 | $22.40 | $53.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.53 / $18.69 / $18.69
| Facility | | $13.53 | $18.69 | $18.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $15.82 / $24.77
| Professional | | $11.84 | $15.82 | $24.77 |