- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.07 / $51.71 / $102.53
| Facility | | $16.07 | $51.71 | $102.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $16.07 / $20.68
| Professional | | $15.00 | $16.07 | $20.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $53.73 / $243.00
| Facility | | $16.98 | $53.73 | $243.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.79 / $22.98 / $52.35
| Professional | | $13.79 | $22.98 | $52.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.60 / $50.59 / $91.65
| Facility | | $19.60 | $50.59 | $91.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.57 / $21.60 / $22.75
| Professional | | $21.57 | $21.60 | $22.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.01 / $28.09 / $57.63
| Facility | | $16.01 | $28.09 | $57.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.29 / $18.64 / $35.10
| Professional | | $12.29 | $18.64 | $35.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.42 / $3,472.00 / $9,239.00
| Facility | | $48.42 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.14 / $33.14 / $38.99
| Professional | | $33.14 | $33.14 | $38.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.98 / $31.85 / $74.00
| Professional | | $22.98 | $31.85 | $74.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.17 / $23.78 / $159.90
| Facility | | $15.17 | $23.78 | $159.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.62 / $243.00 / $243.00
| Facility | | $87.62 | $243.00 | $243.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $13.79 / $35.61
| Professional | | $9.19 | $13.79 | $35.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $13.79 / $35.61
| Professional | | $9.65 | $13.79 | $35.61 |