- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.36 / $41.84 / $68.55
| Facility | | $15.36 | $41.84 | $68.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.54 / $15.36 / $27.60
| Professional | | $14.54 | $15.36 | $27.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.71 / $28.07 / $115.61
| Facility | | $14.71 | $28.07 | $115.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.68 / $16.13 / $39.29
| Professional | | $9.68 | $16.13 | $39.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.30 / $45.06 / $78.78
| Facility | | $28.30 | $45.06 | $78.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.16 / $15.16 / $20.62
| Professional | | $15.16 | $15.16 | $20.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $23.97 / $55.07
| Facility | | $11.27 | $23.97 | $55.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.82 / $27.12
| Professional | | $9.77 | $17.82 | $27.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.49 / $3,472.00 / $9,239.00
| Facility | | $50.49 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.34 / $23.34 / $27.46
| Professional | | $23.34 | $23.34 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.13 / $22.36 / $60.03
| Professional | | $16.13 | $22.36 | $60.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.07 / $115.61 / $115.61
| Facility | | $28.07 | $115.61 | $115.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $10.50 / $34.02
| Professional | | $7.74 | $10.50 | $34.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $10.50 / $30.74
| Professional | | $7.74 | $10.50 | $30.74 |