- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.76 / $67.36 / $387.73
| Facility | | $11.76 | $67.36 | $387.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $10.11 / $20.59
| Professional | | $6.71 | $10.11 | $20.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.04 / $33.11 / $293.00
| Facility | | $15.04 | $33.11 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.67 / $8.24 / $37.22
| Professional | | $6.67 | $8.24 | $37.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.03 / $89.10 / $277.95
| Facility | | $31.03 | $89.10 | $277.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.24 / $7.49 / $65.90
| Professional | | $5.24 | $7.49 | $65.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.92 / $18.02 / $44.24
| Facility | | $8.92 | $18.02 | $44.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.21 / $15.69 / $21.16
| Professional | | $6.21 | $15.69 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $13.73 / $21.97
| Professional | | $8.17 | $13.73 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $13.73 / $29.93
| Professional | | $10.98 | $13.73 | $29.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.22 / $80.00 / $80.00
| Facility | | $65.22 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.92 / $13.63 / $32.44
| Facility | | $8.92 | $13.63 | $32.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $11.55 / $18.14
| Professional | | $6.50 | $11.55 | $18.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.19 / $48.19 / $48.19
| Professional | | $48.19 | $48.19 | $48.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $10.98 / $13.73
| Professional | | $8.33 | $10.98 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $8.24 / $35.33
| Professional | | $5.03 | $8.24 | $35.33 |