- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $45.27 / $91.86
| Facility | | $17.64 | $45.27 | $91.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.94 / $15.47 / $15.89
| Professional | | $14.94 | $15.47 | $15.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.80 / $31.86 / $96.00
| Facility | | $15.80 | $31.86 | $96.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $17.64 / $42.99
| Professional | | $8.47 | $17.64 | $42.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.74 / $48.33 / $84.50
| Facility | | $28.74 | $48.33 | $84.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.59 / $16.59 / $20.05
| Professional | | $16.59 | $16.59 | $20.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.33 / $25.72 / $59.20
| Facility | | $12.33 | $25.72 | $59.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $17.34 / $29.38
| Professional | | $10.62 | $17.34 | $29.38 |
- 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
- $25.68 / $25.68 / $30.21
| Professional | | $25.68 | $25.68 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $24.46 / $61.98
| Professional | | $17.64 | $24.46 | $61.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.58 / $21.19 / $91.21
| Facility | | $15.58 | $21.19 | $91.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.86 / $96.00 / $96.00
| Facility | | $31.86 | $96.00 | $96.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $10.59 / $33.11
| Professional | | $6.30 | $10.59 | $33.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $10.59 / $33.64
| Professional | | $6.30 | $10.59 | $33.64 |