- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $49.02 / $74.01
| Facility | | $13.09 | $49.02 | $74.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $13.55 / $22.67
| Professional | | $10.78 | $13.55 | $22.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $2,299.82 / $2,746.00 / $13,822.74
| Facility | | $2,299.82 | $2,746.00 | $13,822.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $21.27 / $27.94
| Professional | | $14.55 | $21.27 | $27.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.89 / $19.11 / $32.57
| Professional | | $12.89 | $19.11 | $32.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.30 / $23.00 / $23.00
| Professional | | $17.30 | $23.00 | $23.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $529.00 / $812.99 / $903.11
| Facility | | $529.00 | $812.99 | $903.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.15 / $42.53 / $72.13
| Facility | | $14.15 | $42.53 | $72.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.99 / $16.57 / $38.93
| Professional | | $10.99 | $16.57 | $38.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.30 / $32.50 / $37.60
| Professional | | $28.30 | $32.50 | $37.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.34 / $19.11 / $33.84
| Professional | | $13.34 | $19.11 | $33.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $14.71 / $89.67
| Facility | | $11.87 | $14.71 | $89.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.87 / $14.25 / $64.22
| Professional | | $11.87 | $14.25 | $64.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $162.00 / $541.00 / $3,742.00
| Facility | | $162.00 | $541.00 | $3,742.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.06 / $21.37 / $32.61
| Professional | | $15.06 | $21.37 | $32.61 |