- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.78 / $17.18 / $104.83
| Facility | | $8.78 | $17.18 | $104.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $17.18 / $50.70
| Professional | | $8.77 | $17.18 | $50.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.86 / $9.51 / $25.04
| Facility | | $7.86 | $9.51 | $25.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $18.02 / $42.19
| Professional | | $9.10 | $18.02 | $42.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.09 / $100.00 / $27,955.87
| Facility | | $77.09 | $100.00 | $27,955.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $15.00 / $29.84
| Professional | | $7.85 | $15.00 | $29.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $18.28 / $42.77
| Professional | | $9.36 | $18.28 | $42.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $23.45 / $29.58
| Professional | | $9.69 | $23.45 | $29.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $18.21 / $30.91
| Professional | | $8.67 | $18.21 | $30.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.20 / $50.20 / $87.12
| Facility | | $50.20 | $50.20 | $87.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $211.00 / $244.22 / $252.28
| Professional | | $211.00 | $244.22 | $252.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.40 / $20.32 / $34.96
| Facility | | $10.40 | $20.32 | $34.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.59 / $19.39 / $44.78
| Professional | | $9.59 | $19.39 | $44.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.59 / $28.59 / $55.04
| Professional | | $28.59 | $28.59 | $55.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.63 / $20.20 / $49.05
| Professional | | $13.63 | $20.20 | $49.05 |