- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $47.65 / $212.32
| Facility | | $17.05 | $47.65 | $212.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.60 / $16.12 / $20.71
| Professional | | $15.60 | $16.12 | $20.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.32 / $49.80 / $140.00
| Facility | | $16.32 | $49.80 | $140.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.59 / $17.89 / $43.60
| Professional | | $8.59 | $17.89 | $43.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.38 / $49.96 / $87.35
| Facility | | $31.38 | $49.96 | $87.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.82 / $16.82 / $22.91
| Professional | | $16.82 | $16.82 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $26.61 / $61.18
| Facility | | $12.51 | $26.61 | $61.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $19.80 / $30.28
| Professional | | $10.82 | $19.80 | $30.28 |
- 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
- $25.68 / $25.68 / $30.21
| Professional | | $25.68 | $25.68 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.89 / $24.81 / $66.63
| Professional | | $17.89 | $24.81 | $66.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.79 / $22.46 / $41.39
| Facility | | $16.79 | $22.46 | $41.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.09 / $140.00 / $140.00
| Facility | | $80.09 | $140.00 | $140.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.40 / $10.74 / $37.79
| Professional | | $8.40 | $10.74 | $37.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $10.74 / $12.30
| Facility | | $8.06 | $10.74 | $12.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $10.74 / $34.11
| Professional | | $8.06 | $10.74 | $34.11 |