- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.11 / $37.69 / $137.13
| Facility | | $13.11 | $37.69 | $137.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.30 / $13.11 / $15.69
| Professional | | $12.30 | $13.11 | $15.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.55 / $26.11 / $81.00
| Facility | | $12.55 | $26.11 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $13.76 / $33.52
| Professional | | $8.26 | $13.76 | $33.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.17 / $38.50 / $67.30
| Facility | | $24.17 | $38.50 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.93 / $12.93 / $17.61
| Professional | | $12.93 | $12.93 | $17.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $20.43 / $47.04
| Facility | | $9.61 | $20.43 | $47.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $15.22 / $23.50
| Professional | | $8.33 | $15.22 | $23.50 |
- 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
- $20.07 / $20.07 / $23.62
| Professional | | $20.07 | $20.07 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.76 / $19.07 / $51.22
| Professional | | $13.76 | $19.07 | $51.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.01 / $30.13 / $80.83
| Facility | | $18.01 | $30.13 | $80.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $81.00 / $81.00
| Facility | | $26.11 | $81.00 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $9.23 / $29.06
| Professional | | $6.60 | $9.23 | $29.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.60 / $10.63 / $26.23
| Professional | | $6.60 | $10.63 | $26.23 |