- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.05 / $39.24 / $72.51
| Facility | | $11.05 | $39.24 | $72.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.53 / $11.05 / $15.35
| Professional | | $10.53 | $11.05 | $15.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $29.68 / $188.00
| Facility | | $12.60 | $29.68 | $188.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.72 / $17.05 / $64.06
| Professional | | $9.72 | $17.05 | $64.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.43 / $38.50 / $67.30
| Facility | | $22.43 | $38.50 | $67.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.84 / $16.04 / $16.89
| Professional | | $14.84 | $16.04 | $16.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $20.85 / $39.65
| Facility | | $11.22 | $20.85 | $39.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $12.82 / $25.81
| Professional | | $8.49 | $12.82 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.98 / $3,472.00 / $9,239.00
| Facility | | $52.98 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.74 / $24.74 / $29.10
| Professional | | $24.74 | $24.74 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.05 / $23.65 / $54.93
| Professional | | $17.05 | $23.65 | $54.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.12 / $24.88 / $258.98
| Facility | | $15.12 | $24.88 | $258.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.68 / $188.00 / $188.00
| Facility | | $29.68 | $188.00 | $188.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $10.24 / $125.00
| Professional | | $6.82 | $10.24 | $125.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.35 / $17.05 / $20.47
| Facility | | $15.35 | $17.05 | $20.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.17 / $10.24 / $67.65
| Professional | | $7.17 | $10.24 | $67.65 |