- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.20 / $92.29 / $336.00
| Facility | | $16.20 | $92.29 | $336.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $13.54 / $84.90
| Professional | | $8.94 | $13.54 | $84.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.09 / $8.11 / $8.11
| Professional | | $6.09 | $8.11 | $8.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.84 / $32.65 / $293.00
| Facility | | $14.84 | $32.65 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.69 / $10.67 / $31.53
| Professional | | $6.69 | $10.67 | $31.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.07 / $82.53 / $174.16
| Facility | | $35.07 | $82.53 | $174.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $12.00 / $64.98
| Professional | | $8.40 | $12.00 | $64.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.38 / $17.78 / $45.32
| Facility | | $9.38 | $17.78 | $45.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $16.52 / $24.09
| Professional | | $8.91 | $16.52 | $24.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $13.54 / $21.66
| Professional | | $12.04 | $13.54 | $21.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $29.79
| Professional | | $10.83 | $13.54 | $29.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.19 / $96.96 / $108.80
| Facility | | $77.19 | $96.96 | $108.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.12 / $8.12 / $8.12
| Professional | | $8.12 | $8.12 | $8.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.25 / $16.25 / $45.12
| Facility | | $11.25 | $16.25 | $45.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $13.54 / $27.08
| Professional | | $9.03 | $13.54 | $27.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.52 / $47.52 / $47.52
| Professional | | $47.52 | $47.52 | $47.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $18.96
| Professional | | $10.83 | $13.54 | $18.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $8.11 / $26.19
| Professional | | $5.69 | $8.11 | $26.19 |