- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.57 / $60.01 / $274.02
| Facility | | $19.57 | $60.01 | $274.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.44 / $12.77 / $25.44
| Professional | | $10.44 | $12.77 | $25.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $24.57 / $205.00
| Facility | | $12.88 | $24.57 | $205.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $14.12 / $33.18
| Professional | | $6.78 | $14.12 | $33.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.60 / $39.33 / $68.75
| Facility | | $19.60 | $39.33 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.27 / $13.27 / $13.98
| Professional | | $13.27 | $13.27 | $13.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.86 / $21.02 / $48.26
| Facility | | $9.86 | $21.02 | $48.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $11.14 / $23.95
| Professional | | $8.32 | $11.14 | $23.95 |
- 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
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.12 / $19.57 / $50.36
| Professional | | $14.12 | $19.57 | $50.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.99 / $23.62 / $167.41
| Facility | | $13.99 | $23.62 | $167.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.57 / $205.00 / $205.00
| Facility | | $24.57 | $205.00 | $205.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $8.47 / $23.69
| Professional | | $3.15 | $8.47 | $23.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $8.47 / $23.69
| Professional | | $3.15 | $8.47 | $23.69 |