- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.28 / $36.38 / $85.14
| Facility | | $13.28 | $36.38 | $85.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.95 / $12.65 / $18.23
| Professional | | $11.95 | $12.65 | $18.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.11 / $24.78 / $65.36
| Facility | | $12.11 | $24.78 | $65.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $13.28 / $32.35
| Professional | | $7.97 | $13.28 | $32.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $36.86 / $64.45
| Facility | | $23.15 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $12.48 / $16.98
| Professional | | $12.48 | $12.48 | $16.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $19.71 / $45.35
| Facility | | $9.27 | $19.71 | $45.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $14.68 / $22.60
| Professional | | $7.91 | $14.68 | $22.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.28 / $18.41 / $49.41
| Professional | | $13.28 | $18.41 | $49.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.26 / $16.66 / $75.78
| Facility | | $15.26 | $16.66 | $75.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.78 / $65.36 / $65.36
| Facility | | $24.78 | $65.36 | $65.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $8.90 / $28.04
| Professional | | $6.37 | $8.90 | $28.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $13.69 / $16.79
| Professional | | $11.71 | $13.69 | $16.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $10.26 / $31.66
| Professional | | $6.37 | $10.26 | $31.66 |