- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.03 / $31.97 / $68.81
| Facility | | $18.03 | $31.97 | $68.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.04 / $19.66 / $19.66
| Professional | | $18.04 | $19.66 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.17 / $10.44 / $20.07
| Professional | | $3.17 | $10.44 | $20.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.66 / $7.77 / $7.77
| Facility | | $4.66 | $7.77 | $7.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $7.77 / $7.77
| Professional | | $5.67 | $7.77 | $7.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $51.03 / $84.04
| Facility | | $50.00 | $51.03 | $84.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.09 / $22.98 / $115.39
| Professional | | $9.09 | $22.98 | $115.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.53 / $21.53 / $21.53
| Professional | | $21.53 | $21.53 | $21.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.62 / $21.61 / $25.75
| Professional | | $14.62 | $21.61 | $25.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $23.44 / $70.75
| Facility | | $23.44 | $23.44 | $70.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $51.03 / $597.00
| Facility | | $13.73 | $51.03 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $49.26 / $72.41
| Professional | | $11.36 | $49.26 | $72.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.67 / $16.25 / $38.46
| Professional | | $9.67 | $16.25 | $38.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.16 / $26.16 / $31.24
| Facility | | $26.16 | $26.16 | $31.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.62 / $23.35 / $27.34
| Professional | | $14.62 | $23.35 | $27.34 |