- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.64 / $37.65 / $60.86
| Facility | | $13.64 | $37.65 | $60.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $13.64 / $18.71
| Professional | | $12.48 | $13.64 | $18.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $29.65 / $100.00
| Facility | | $13.06 | $29.65 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $14.32 / $34.88
| Professional | | $8.59 | $14.32 | $34.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $40.14 / $70.18
| Facility | | $25.21 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.46 / $13.46 / $18.30
| Professional | | $13.46 | $13.46 | $18.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.01 / $21.28 / $48.91
| Facility | | $10.01 | $21.28 | $48.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $15.84 / $24.41
| Professional | | $8.52 | $15.84 | $24.41 |
- 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
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.32 / $19.85 / $53.30
| Professional | | $14.32 | $19.85 | $53.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.66 / $18.66 / $18.66
| Facility | | $18.66 | $18.66 | $18.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.65 / $100.00 / $100.00
| Facility | | $29.65 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $9.60 / $30.23
| Professional | | $6.87 | $9.60 | $30.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $9.60 / $30.23
| Professional | | $6.44 | $9.60 | $30.23 |