- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $35.64 / $80.66
| Facility | | $12.76 | $35.64 | $80.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.65 / $12.08 / $15.50
| Professional | | $11.65 | $12.08 | $15.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.21 / $26.11 / $100.00
| Facility | | $12.21 | $26.11 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $13.39 / $32.61
| Professional | | $8.02 | $13.39 | $32.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $37.68 / $65.88
| Facility | | $23.66 | $37.68 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $12.59 / $17.14
| Professional | | $12.59 | $12.59 | $17.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $19.89 / $45.77
| Facility | | $9.35 | $19.89 | $45.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $14.81 / $22.60
| Professional | | $8.11 | $14.81 | $22.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.39 / $18.55 / $49.85
| Professional | | $13.39 | $18.55 | $49.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $17.45 / $72.26
| Facility | | $12.05 | $17.45 | $72.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $100.00 / $100.00
| Facility | | $26.11 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $8.98 / $28.29
| Professional | | $6.43 | $8.98 | $28.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $8.98 / $25.52
| Professional | | $6.43 | $8.98 | $25.52 |