- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $40.06 / $91.61
| Facility | | $14.34 | $40.06 | $91.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.52 / $14.34 / $25.76
| Professional | | $10.52 | $14.34 | $25.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.74 / $42.52 / $80.00
| Facility | | $13.74 | $42.52 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $15.29 / $37.24
| Professional | | $9.44 | $15.29 | $37.24 |
- 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
- $14.37 / $14.37 / $19.26
| Professional | | $14.37 | $14.37 | $19.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $23.45 / $58.16
| Facility | | $10.68 | $23.45 | $58.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $12.94 / $28.02
| Professional | | $8.86 | $12.94 | $28.02 |
- 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
- $15.29 / $21.19 / $56.05
| Professional | | $15.29 | $21.19 | $56.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $228.78 / $228.78 / $231.24
| Facility | | $228.78 | $228.78 | $231.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $80.00 / $180.18
| Facility | | $80.00 | $80.00 | $180.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.31 / $15.29 / $31.79
| Professional | | $8.31 | $15.29 | $31.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $15.29 / $39.82
| Professional | | $9.17 | $15.29 | $39.82 |