- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.37 / $34.54 / $101.66
| Facility | | $12.37 | $34.54 | $101.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $12.37 / $17.82
| Professional | | $9.60 | $12.37 | $17.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.84 / $36.11 / $171.26
| Facility | | $11.84 | $36.11 | $171.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $12.98 / $31.62
| Professional | | $7.79 | $12.98 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.63 / $36.04 / $63.00
| Facility | | $22.63 | $36.04 | $63.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.20 / $12.20 / $16.61
| Professional | | $12.20 | $12.20 | $16.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.07 / $19.30 / $44.36
| Facility | | $9.07 | $19.30 | $44.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $14.36 / $22.15
| Professional | | $7.91 | $14.36 | $22.15 |
- 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
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.98 / $17.98 / $48.34
| Professional | | $12.98 | $17.98 | $48.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.17 / $16.76 / $250.08
| Facility | | $12.17 | $16.76 | $250.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.27 / $171.26 / $171.26
| Facility | | $40.27 | $171.26 | $171.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $8.40 / $27.41
| Professional | | $6.23 | $8.40 | $27.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.00 / $60.00 / $60.00
| Facility | | $60.00 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.23 / $8.40 / $24.74
| Professional | | $6.23 | $8.40 | $24.74 |