- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.06 / $33.28 / $78.41
| Facility | | $12.06 | $33.28 | $78.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $11.66 / $12.06
| Professional | | $11.29 | $11.66 | $12.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $28.32 / $80.00
| Facility | | $11.81 | $28.32 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $12.95 / $31.54
| Professional | | $7.77 | $12.95 | $31.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.20 / $38.13 / $63.00
| Facility | | $25.20 | $38.13 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.17 / $12.17 / $16.20
| Professional | | $12.17 | $12.17 | $16.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.05 / $19.23 / $44.24
| Facility | | $9.05 | $19.23 | $44.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.70 / $13.99 / $21.69
| Professional | | $7.70 | $13.99 | $21.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.68 / $3,472.00 / $9,239.00
| Facility | | $46.68 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.95 / $17.95 / $48.21
| Professional | | $12.95 | $17.95 | $48.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.65 / $15.25 / $16.50
| Facility | | $11.65 | $15.25 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.32 / $80.00 / $80.00
| Facility | | $28.32 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $8.68 / $26.72
| Professional | | $6.22 | $8.68 | $26.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.22 / $10.61 / $23.19
| Professional | | $6.22 | $10.61 | $23.19 |