- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.43 / $45.49 / $148.03
| Facility | | $23.43 | $45.49 | $148.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.42 / $12.85 / $16.72
| Professional | | $12.42 | $12.85 | $16.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.20 / $35.85 / $97.00
| Facility | | $13.20 | $35.85 | $97.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $14.46 / $35.22
| Professional | | $8.68 | $14.46 | $35.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $43.33 / $71.59
| Facility | | $25.72 | $43.33 | $71.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.59 / $13.59 / $18.50
| Professional | | $13.59 | $13.59 | $18.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $21.46 / $49.41
| Facility | | $10.11 | $21.46 | $49.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $15.98 / $24.41
| Professional | | $8.74 | $15.98 | $24.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.50 / $3,472.00 / $9,239.00
| Facility | | $51.50 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $20.04 / $53.83
| Professional | | $14.46 | $20.04 | $53.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.68 / $18.85 / $108.93
| Facility | | $16.68 | $18.85 | $108.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.85 / $97.00 / $97.00
| Facility | | $35.85 | $97.00 | $97.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $9.44 / $30.53
| Professional | | $6.94 | $9.44 | $30.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.75 / $16.26 / $23.57
| Facility | | $14.75 | $16.26 | $23.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $9.44 / $27.56
| Professional | | $6.94 | $9.44 | $27.56 |