- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.45 / $51.23 / $90.95
| Facility | | $18.45 | $51.23 | $90.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.53 / $9.92 / $10.85
| Professional | | $9.53 | $9.92 | $10.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.39 / $26.11 / $100.00
| Facility | | $10.39 | $26.11 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.83 / $11.39 / $27.74
| Professional | | $6.83 | $11.39 | $27.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $31.95 / $55.85
| Facility | | $20.05 | $31.95 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $10.71 / $14.57
| Professional | | $10.71 | $10.71 | $14.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.96 / $16.91 / $38.89
| Facility | | $7.96 | $16.91 | $38.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $12.59 / $19.43
| Professional | | $6.87 | $12.59 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.57 / $3,472.00 / $9,239.00
| Facility | | $51.57 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $16.32 / $19.22
| Professional | | $16.32 | $16.32 | $19.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.39 / $15.79 / $42.38
| Professional | | $11.39 | $15.79 | $42.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.09 / $14.84 / $107.96
| Facility | | $13.09 | $14.84 | $107.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $100.00 / $100.00
| Facility | | $26.11 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.64 / $24.03
| Professional | | $5.47 | $7.64 | $24.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.54 / $13.69 / $25.98
| Facility | | $10.54 | $13.69 | $25.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.47 / $7.64 / $24.03
| Professional | | $5.47 | $7.64 | $24.03 |