- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.67 / $54.85 / $124.55
| Facility | | $15.67 | $54.85 | $124.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.29 / $17.32 / $34.82
| Professional | | $15.29 | $17.32 | $34.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $97.57 / $126.70 / $8,639.91
| Facility | | $97.57 | $126.70 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.09 / $15.09 / $15.09
| Professional | | $15.09 | $15.09 | $15.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.71 / $25.77 / $64.11
| Facility | | $12.71 | $25.77 | $64.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $22.30 / $33.85
| Professional | | $12.11 | $22.30 | $33.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $15.48 / $26.20
| Professional | | $8.90 | $15.48 | $26.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.36 / $75.11 / $157.65
| Facility | | $27.36 | $75.11 | $157.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $11.61 / $11.61
| Professional | | $11.61 | $11.61 | $11.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.67 / $50.31 / $127.60
| Facility | | $15.67 | $50.31 | $127.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.97 / $17.53 / $79.92
| Professional | | $14.97 | $17.53 | $79.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.96 / $29.39 / $64.11
| Facility | | $12.96 | $29.39 | $64.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.11 / $22.30 / $33.85
| Professional | | $12.11 | $22.30 | $33.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.35 / $19.35 / $19.35
| Facility | | $19.35 | $19.35 | $19.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $19.35 / $27.54
| Professional | | $17.03 | $19.35 | $27.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $12.00 / $33.90
| Professional | | $8.13 | $12.00 | $33.90 |