- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $39.11 / $120.96
| Facility | | $15.30 | $39.11 | $120.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $10.98 / $21.01
| Professional | | $10.06 | $10.98 | $21.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.30 / $26.62 / $72.68
| Facility | | $11.30 | $26.62 | $72.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $15.30 / $35.56
| Professional | | $8.40 | $15.30 | $35.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.61 / $34.40 / $60.15
| Facility | | $21.61 | $34.40 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.38 / $14.38 / $15.15
| Professional | | $14.38 | $14.38 | $15.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.69 / $18.71 / $39.11
| Facility | | $10.69 | $18.71 | $39.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.31 / $12.66 / $23.24
| Professional | | $8.31 | $12.66 | $23.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.18 / $3,472.00 / $9,239.00
| Facility | | $46.18 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.94 / $21.94 / $25.81
| Professional | | $21.94 | $21.94 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.30 / $21.21 / $49.27
| Professional | | $15.30 | $21.21 | $49.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $19.19 / $66.62
| Facility | | $10.83 | $19.19 | $66.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.62 / $72.68 / $72.68
| Facility | | $26.62 | $72.68 | $72.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $9.18 / $24.18
| Professional | | $6.12 | $9.18 | $24.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.18 / $21.21
| Professional | | $6.43 | $9.18 | $21.21 |