- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $35.72 / $106.72
| Facility | | $11.15 | $35.72 | $106.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $12.33 / $12.63
| Professional | | $8.10 | $12.33 | $12.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.26 / $260.00 / $876.00
| Facility | | $73.26 | $260.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $8.52 / $15.45
| Professional | | $6.61 | $8.52 | $15.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.74 / $33.58 / $41.91
| Facility | | $10.74 | $33.58 | $41.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.73 / $9.66 / $30.26
| Professional | | $7.73 | $9.66 | $30.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.10 / $24.92 / $49.75
| Facility | | $10.10 | $24.92 | $49.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $14.86 / $20.05
| Professional | | $11.89 | $14.86 | $20.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.37 / $17.09 / $32.69
| Professional | | $13.37 | $17.09 | $32.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.86 / $70.59 / $70.59
| Facility | | $25.86 | $70.59 | $70.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $74.30 / $74.30 / $111.45
| Professional | | $74.30 | $74.30 | $111.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.89 / $17.82 / $39.43
| Facility | | $11.89 | $17.82 | $39.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.86 / $16.35 / $22.29
| Professional | | $14.86 | $16.35 | $22.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.86 / $14.86 / $14.86
| Professional | | $14.86 | $14.86 | $14.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $13.37 / $20.21
| Professional | | $11.89 | $13.37 | $20.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $6.69 / $35.78
| Professional | | $6.24 | $6.69 | $35.78 |