- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.97 / $37.90 / $123.06
| Facility | | $13.97 | $37.90 | $123.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.15 / $13.97 / $15.84
| Professional | | $10.15 | $13.97 | $15.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $91.85 / $260.00 / $876.00
| Facility | | $91.85 | $260.00 | $876.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $2.11 / $2.34 / $13.14
| Professional | | $2.11 | $2.34 | $13.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.51 / $81.79 / $173.26
| Facility | | $36.51 | $81.79 | $173.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $12.11 / $36.47
| Professional | | $8.48 | $12.11 | $36.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $25.01 / $60.97
| Facility | | $12.29 | $25.01 | $60.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.48 / $22.72 / $28.40
| Professional | | $21.48 | $22.72 | $28.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.90 / $18.63 / $29.81
| Professional | | $14.90 | $18.63 | $29.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.90 / $18.63 / $32.60
| Professional | | $14.90 | $18.63 | $32.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.42 / $88.49 / $88.49
| Facility | | $32.42 | $88.49 | $88.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.68 / $18.63 / $43.72
| Facility | | $9.68 | $18.63 | $43.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.35 / $17.70 / $18.63
| Professional | | $14.35 | $17.70 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.90 / $16.69 / $20.86
| Professional | | $14.90 | $16.69 | $20.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $10.25 / $11.18
| Facility | | $8.38 | $10.25 | $11.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.82 / $7.82 / $29.62
| Professional | | $7.82 | $7.82 | $29.62 |