- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $48.09 / $603.52
| Facility | | $9.96 | $48.09 | $603.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $10.25 / $125.35
| Professional | | $9.86 | $10.25 | $125.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $10.46 / $14.20
| Facility | | $8.11 | $10.46 | $14.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $9.86 / $49.38
| Professional | | $9.02 | $9.86 | $49.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.35 / $45.90 / $73.15
| Facility | | $43.35 | $45.90 | $73.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $9.97 / $30.03
| Professional | | $9.97 | $9.97 | $30.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $9.30 / $9.86
| Facility | | $9.30 | $9.30 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $9.86
| Professional | | $9.86 | $9.86 | $9.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $11.83 / $25.14
| Professional | | $8.86 | $11.83 | $25.14 |
- 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
- $9.30 / $9.86 / $14.24
| Facility | | $9.30 | $9.86 | $14.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $21.33
| Professional | | $9.86 | $9.86 | $21.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $58.38 / $58.38 / $58.38
| Professional | | $58.38 | $58.38 | $58.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $10.85 / $16.76
| Professional | | $7.89 | $10.85 | $16.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $116.46 / $122.74 / $122.74
| Facility | | $116.46 | $122.74 | $122.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $25.37
| Professional | | $9.86 | $9.86 | $25.37 |