- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $0.06 / $329.67 / $687.00
| Facility | | $0.06 | $329.67 | $687.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.40 / $23.71 / $64.18
| Professional | | $11.40 | $23.71 | $64.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.92 / $41.66 / $293.00
| Facility | | $18.92 | $41.66 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $7.25 / $17.96
| Professional | | $6.91 | $7.25 | $17.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.85 / $78.23 / $160.61
| Facility | | $33.85 | $78.23 | $160.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.86 / $11.23 / $33.83
| Professional | | $7.86 | $11.23 | $33.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.40 / $23.19 / $56.54
| Facility | | $11.40 | $23.19 | $56.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.10 / $19.82 / $26.33
| Professional | | $9.10 | $19.82 | $26.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $17.27 / $27.63
| Professional | | $13.82 | $17.27 | $27.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $17.27 / $39.72
| Professional | | $13.82 | $17.27 | $39.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.05 / $82.03 / $82.03
| Facility | | $30.05 | $82.03 | $82.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $21.59 / $40.94
| Facility | | $11.23 | $21.59 | $40.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.61 / $16.38 / $20.72
| Professional | | $9.61 | $16.38 | $20.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.82 / $15.48 / $19.35
| Professional | | $13.82 | $15.48 | $19.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.25 / $7.25 / $25.33
| Professional | | $7.25 | $7.25 | $25.33 |