- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.13 / $51.60 / $220.71
| Facility | | $5.13 | $51.60 | $220.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.80 / $11.95 / $73.70
| Professional | | $4.80 | $11.95 | $73.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.15 / $18.25 / $31.24
| Facility | | $6.15 | $18.25 | $31.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.34 / $90.67 / $247.60
| Professional | | $8.34 | $90.67 | $247.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.98 / $14.14 / $19.07
| Facility | | $7.98 | $14.14 | $19.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $78.88 / $142.35
| Professional | | $8.59 | $78.88 | $142.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.59 / $50.59 / $69.69
| Professional | | $50.59 | $50.59 | $69.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $53.00 / $8,090.00
| Facility | | $6.46 | $53.00 | $8,090.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $66.48 / $87.05 / $138.53
| Professional | | $66.48 | $87.05 | $138.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.21 / $23.11 / $154.22
| Professional | | $8.21 | $23.11 | $154.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $12.83 / $12.83
| Professional | | $12.83 | $12.83 | $12.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.24 / $31.24 / $31.24
| Facility | | $31.24 | $31.24 | $31.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.98 / $115.70 / $360.95
| Professional | | $64.98 | $115.70 | $360.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $8.21 / $11.25
| Professional | | $5.65 | $8.21 | $11.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $61.05 / $90.67 / $176.07
| Professional | | $61.05 | $90.67 | $176.07 |