- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.22 / $74.43 / $495.75
| Facility | | $15.22 | $74.43 | $495.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.50 / $16.00 / $29.28
| Professional | | $14.50 | $16.00 | $29.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.28 / $117.24 / $8,639.91
| Facility | | $90.28 | $117.24 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.96 / $13.96 / $13.96
| Professional | | $13.96 | $13.96 | $13.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.76 / $23.85 / $59.76
| Facility | | $11.76 | $23.85 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $20.65 / $31.31
| Professional | | $11.18 | $20.65 | $31.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $14.32 / $24.24
| Professional | | $8.23 | $14.32 | $24.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.79 / $42.10 / $103.32
| Facility | | $28.79 | $42.10 | $103.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $13.86 / $17.00
| Professional | | $10.74 | $13.86 | $17.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.22 / $61.36 / $446.72
| Facility | | $15.22 | $61.36 | $446.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $16.23 / $73.93
| Professional | | $13.43 | $16.23 | $73.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.99 / $27.19 / $59.76
| Facility | | $11.99 | $27.19 | $59.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $20.65 / $31.31
| Professional | | $11.18 | $20.65 | $31.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $17.89 / $17.89
| Facility | | $17.89 | $17.89 | $17.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.75 / $17.89 / $25.49
| Professional | | $15.75 | $17.89 | $25.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.52 / $11.46 / $31.37
| Professional | | $7.52 | $11.46 | $31.37 |