- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.28 / $27.35 / $50.53
| Facility | | $7.28 | $27.35 | $50.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.92 / $7.28 / $15.53
| Professional | | $3.92 | $7.28 | $15.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $20.69 / $116.00
| Facility | | $10.85 | $20.69 | $116.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $11.89 / $24.83
| Professional | | $5.71 | $11.89 | $24.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.49 / $35.54 / $58.73
| Facility | | $23.49 | $35.54 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $11.18 / $11.77
| Professional | | $9.77 | $11.18 | $11.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.30 / $17.68 / $40.65
| Facility | | $8.30 | $17.68 | $40.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $11.10 / $20.34
| Professional | | $7.08 | $11.10 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.61 / $3,472.00 / $9,239.00
| Facility | | $34.61 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.89 / $16.48 / $42.40
| Professional | | $11.89 | $16.48 | $42.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $294.72 / $294.72 / $316.83
| Facility | | $294.72 | $294.72 | $316.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.69 / $116.00 / $116.00
| Facility | | $20.69 | $116.00 | $116.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $7.13 / $19.94
| Professional | | $3.15 | $7.13 | $19.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $7.13 / $21.29
| Professional | | $3.15 | $7.13 | $21.29 |