- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.23 / $46.65 / $105.47
| Facility | | $16.23 | $46.65 | $105.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.36 / $16.23 / $29.14
| Professional | | $15.36 | $16.23 | $29.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.53 / $29.63 / $192.95
| Facility | | $15.53 | $29.63 | $192.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.44 / $17.03 / $50.78
| Professional | | $8.44 | $17.03 | $50.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.28 / $43.44 / $75.95
| Facility | | $27.28 | $43.44 | $75.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.01 / $16.01 / $21.79
| Professional | | $16.01 | $16.01 | $21.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $25.68 / $58.20
| Facility | | $11.90 | $25.68 | $58.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.10 / $21.06 / $60.98
| Professional | | $13.10 | $21.06 | $60.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.27 / $77.11 / $6,679.00
| Facility | | $20.27 | $77.11 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.88 / $23.84 / $48.65
| Professional | | $17.88 | $23.84 | $48.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $23.60 / $63.38
| Professional | | $17.03 | $23.60 | $63.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.57 / $22.19 / $61.31
| Facility | | $19.57 | $22.19 | $61.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.63 / $192.95 / $192.95
| Facility | | $29.63 | $192.95 | $192.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $10.22 / $35.96
| Professional | | $3.15 | $10.22 | $35.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $10.22 / $32.46
| Professional | | $3.15 | $10.22 | $32.46 |