- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.01 / $44.00 / $337.00
| Facility | | $9.01 | $44.00 | $337.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $28.56 / $29.04
| Professional | | $6.26 | $28.56 | $29.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.31 / $11.77 / $271.14
| Facility | | $7.31 | $11.77 | $271.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $7.35 / $16.75
| Professional | | $3.85 | $7.35 | $16.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.47 / $23.41 / $41.49
| Facility | | $15.47 | $23.41 | $41.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.72 / $7.54 / $7.94
| Professional | | $4.72 | $7.54 | $7.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.27 / $11.70 / $27.42
| Facility | | $5.27 | $11.70 | $27.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $7.57 / $13.56
| Professional | | $4.07 | $7.57 | $13.56 |
- 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
- $11.67 / $11.67 / $13.73
| Professional | | $11.67 | $11.67 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $11.03 / $28.60
| Professional | | $8.02 | $11.03 | $28.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $19.28 / $157.94
| Facility | | $9.22 | $19.28 | $157.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.76 / $271.14 / $271.14
| Facility | | $41.76 | $271.14 | $271.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.80 / $13.44
| Professional | | $3.09 | $4.80 | $13.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.09 / $4.80 / $31.80
| Professional | | $3.09 | $4.80 | $31.80 |