- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.05 / $7.95 / $8.75
| Facility | | $5.05 | $7.95 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $8.46 / $16.22
| Professional | | $5.72 | $8.46 | $16.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.84 / $16.45
| Professional | | $4.50 | $5.84 | $16.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.74 / $11.74 / $11.74
| Facility | | $11.74 | $11.74 | $11.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.74 / $11.74 / $11.74
| Professional | | $11.74 | $11.74 | $11.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.25 / $9.25 / $9.48
| Facility | | $9.25 | $9.25 | $9.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $7.14 / $9.14
| Professional | | $7.14 | $7.14 | $9.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $12.51 / $332.00
| Facility | | $8.00 | $12.51 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.82 / $11.09 / $16.98
| Professional | | $8.82 | $11.09 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.58 / $7.58 / $7.58
| Facility | | $7.58 | $7.58 | $7.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $10.15 / $17.19
| Professional | | $6.63 | $10.15 | $17.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.25 / $555.00 / $74,999.25
| Facility | | $9.25 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $7.35 / $18.54
| Professional | | $7.14 | $7.35 | $18.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.07 / $9.47 / $19.95
| Professional | | $7.07 | $9.47 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $8.75
| Facility | | $8.75 | $8.75 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.98 / $8.75 / $17.19
| Professional | | $6.98 | $8.75 | $17.19 |