- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $53.15 / $77.27
| Facility | | $10.93 | $53.15 | $77.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $10.94 / $49.00
| Professional | | $10.03 | $10.94 | $49.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.93 / $84.32 / $8,639.91
| Facility | | $64.93 | $84.32 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $10.03 / $10.03
| Professional | | $10.03 | $10.03 | $10.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.46 / $17.14 / $42.38
| Facility | | $8.46 | $17.14 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $10.30 / $17.43
| Professional | | $5.92 | $10.30 | $17.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.94 / $39.58 / $41.97
| Facility | | $33.94 | $39.58 | $41.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.93 / $44.39 / $60.82
| Facility | | $10.93 | $44.39 | $60.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $11.52 / $53.15
| Professional | | $9.27 | $11.52 | $53.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.61 / $19.55 / $42.38
| Facility | | $8.61 | $19.55 | $42.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $14.87 / $22.43
| Professional | | $8.08 | $14.87 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $12.87
| Facility | | $12.87 | $12.87 | $12.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $12.87 / $18.32
| Professional | | $11.33 | $12.87 | $18.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $8.36 / $22.56
| Professional | | $5.79 | $8.36 | $22.56 |