- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $40.92 / $73.05
| Facility | | $14.34 | $40.92 | $73.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.04 / $13.42 / $14.34
| Professional | | $12.04 | $13.42 | $14.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $31.26 / $80.00
| Facility | | $13.74 | $31.26 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $15.05 / $36.65
| Professional | | $9.44 | $15.05 | $36.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.75 / $42.60 / $74.48
| Facility | | $26.75 | $42.60 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.15 / $14.15 / $19.26
| Professional | | $14.15 | $14.15 | $19.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.52 / $22.71 / $51.47
| Facility | | $10.52 | $22.71 | $51.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $11.58 / $24.86
| Professional | | $8.86 | $11.58 | $24.86 |
- 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
- $21.94 / $21.94 / $25.81
| Professional | | $21.94 | $21.94 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.05 / $20.86 / $56.05
| Professional | | $15.05 | $20.86 | $56.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $16.48 / $18.42
| Facility | | $13.54 | $16.48 | $18.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.26 / $80.00 / $80.00
| Facility | | $31.26 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $15.05 / $31.79
| Professional | | $8.18 | $15.05 | $31.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $15.05 / $26.95
| Professional | | $9.02 | $15.05 | $26.95 |