- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.74 / $54.40 / $142.63
| Facility | | $12.74 | $54.40 | $142.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $8.42 / $25.26
| Professional | | $7.89 | $8.42 | $25.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.48 / $16.18 / $100.00
| Facility | | $8.48 | $16.18 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $9.30 / $22.65
| Professional | | $5.58 | $9.30 | $22.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.64 / $26.21 / $45.83
| Facility | | $13.64 | $26.21 | $45.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.74 / $8.74 / $9.50
| Professional | | $8.74 | $8.74 | $9.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.50 / $13.84 / $31.78
| Facility | | $6.50 | $13.84 | $31.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.58 / $15.82
| Professional | | $5.62 | $8.58 | $15.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.99 / $3,472.00 / $9,239.00
| Facility | | $29.99 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $15.92
| Professional | | $13.53 | $13.53 | $15.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $12.89 / $33.19
| Professional | | $9.30 | $12.89 | $33.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.68 / $20.02 / $111.85
| Facility | | $9.68 | $20.02 | $111.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.18 / $100.00 / $100.00
| Facility | | $16.18 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.46 / $6.23 / $15.69
| Professional | | $4.46 | $6.23 | $15.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.97 / $10.58 / $18.80
| Facility | | $7.97 | $10.58 | $18.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $8.43 / $10.06
| Professional | | $7.59 | $8.43 | $10.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $7.35 / $23.08
| Professional | | $4.61 | $7.35 | $23.08 |