- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.93 / $37.79 / $92.07
| Facility | | $12.93 | $37.79 | $92.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.95 / $11.98 / $13.16
| Professional | | $6.95 | $11.98 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $23.24 / $83.93
| Facility | | $12.53 | $23.24 | $83.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $13.73 / $34.29
| Professional | | $6.11 | $13.73 | $34.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $37.15 / $67.30
| Facility | | $14.25 | $37.15 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.91 / $13.59
| Professional | | $9.33 | $12.91 | $13.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $20.72 / $46.92
| Facility | | $9.60 | $20.72 | $46.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $15.69 / $23.95
| Professional | | $8.09 | $15.69 | $23.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.67 / $3,472.00 / $9,239.00
| Facility | | $33.67 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $19.60 / $23.06
| Professional | | $19.60 | $19.60 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.73 / $19.03 / $48.98
| Professional | | $13.73 | $19.03 | $48.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.51 / $16.84 / $254.12
| Facility | | $9.51 | $16.84 | $254.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.99 / $83.93 / $83.93
| Facility | | $28.99 | $83.93 | $83.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $8.24 / $34.29
| Professional | | $6.11 | $8.24 | $34.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.36 / $13.73 / $16.48
| Facility | | $12.36 | $13.73 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $8.24 / $34.29
| Professional | | $6.11 | $8.24 | $34.29 |