- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $46.11 / $196.04
| Facility | | $16.34 | $46.11 | $196.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.73 / $15.57 / $27.95
| Professional | | $14.73 | $15.57 | $27.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.90 / $45.45 / $129.00
| Facility | | $14.90 | $45.45 | $129.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $16.34 / $39.79
| Professional | | $7.84 | $16.34 | $39.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.81 / $45.87 / $80.20
| Facility | | $28.81 | $45.87 | $80.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.36 / $15.36 / $20.91
| Professional | | $15.36 | $15.36 | $20.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $24.29 / $55.87
| Facility | | $11.41 | $24.29 | $55.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $18.05 / $27.57
| Professional | | $9.77 | $18.05 | $27.57 |
- 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
- $23.80 / $23.80 / $28.00
| Professional | | $23.80 | $23.80 | $28.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.34 / $22.65 / $60.80
| Professional | | $16.34 | $22.65 | $60.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.33 / $19.98 / $21.29
| Facility | | $15.33 | $19.98 | $21.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.09 / $129.00 / $129.00
| Facility | | $80.09 | $129.00 | $129.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $9.80 / $34.50
| Professional | | $7.35 | $9.80 | $34.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.35 / $9.80 / $29.26
| Professional | | $7.35 | $9.80 | $29.26 |