- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.84 / $15.35 / $3,128.64
| Facility | | $8.84 | $15.35 | $3,128.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.84 / $12.83
| Professional | | $8.75 | $8.84 | $12.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $20.22 / $40.95
| Facility | | $8.46 | $20.22 | $40.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $10.24 / $10.24
| Professional | | $10.24 | $10.24 | $10.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.00 / $12.68 / $1,079.45
| Facility | | $8.00 | $12.68 | $1,079.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $414.27 / $414.27 / $414.27
| Facility | | $414.27 | $414.27 | $414.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $8.75 / $8.75
| Facility | | $8.26 | $8.75 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $8.75
| Professional | | $8.75 | $8.75 | $8.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.00 / $100.00 / $100.00
| Facility | | $75.00 | $100.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.69 / $9.17 / $12.88
| Facility | | $7.69 | $9.17 | $12.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.88 / $8.75 / $15.82
| Professional | | $6.88 | $8.75 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $8.75 / $12.64
| Facility | | $8.26 | $8.75 | $12.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $8.75 / $15.44
| Professional | | $8.25 | $8.75 | $15.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $14.92 / $14.92
| Facility | | $11.03 | $14.92 | $14.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.75 / $8.75 / $8.75
| Professional | | $8.75 | $8.75 | $8.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $8.52 / $11.81
| Professional | | $8.52 | $8.52 | $11.81 |