- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $47.61 / $122.95
| Facility | | $16.87 | $47.61 | $122.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $15.00 / $17.57
| Professional | | $10.18 | $15.00 | $17.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $34.02 / $341.00
| Facility | | $15.39 | $34.02 | $341.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.96 / $16.87 / $35.22
| Professional | | $8.96 | $16.87 | $35.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.69 / $45.84 / $83.05
| Facility | | $20.69 | $45.84 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $15.86 / $16.70
| Professional | | $13.67 | $15.86 | $16.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $25.05 / $57.63
| Facility | | $11.79 | $25.05 | $57.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.64 / $28.47
| Professional | | $10.19 | $15.64 | $28.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $48.89 / $3,472.00 / $9,239.00
| Facility | | $48.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.87 / $23.38 / $60.16
| Professional | | $16.87 | $23.38 | $60.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.92 / $13.92 / $177.94
| Facility | | $13.92 | $13.92 | $177.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.62 / $341.00 / $341.00
| Facility | | $87.62 | $341.00 | $341.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $10.11 / $28.28
| Professional | | $8.10 | $10.11 | $28.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $10.11 / $25.46
| Professional | | $8.10 | $10.11 | $25.46 |