- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.01 / $32.90 / $118.11
| Facility | | $12.01 | $32.90 | $118.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.49 / $10.81 / $12.01
| Professional | | $10.49 | $10.81 | $12.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $33.40 / $132.00
| Facility | | $10.96 | $33.40 | $132.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $12.01 / $29.25
| Professional | | $7.21 | $12.01 | $29.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.29 / $11.29 / $15.37
| Professional | | $11.29 | $11.29 | $15.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $17.85 / $41.07
| Facility | | $8.40 | $17.85 | $41.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.29 / $20.34
| Professional | | $7.29 | $13.29 | $20.34 |
- 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
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.01 / $16.64 / $44.72
| Professional | | $12.01 | $16.64 | $44.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $15.49 / $264.32
| Facility | | $11.27 | $15.49 | $264.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.45 / $132.00 / $132.00
| Facility | | $73.45 | $132.00 | $132.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $8.06 / $25.38
| Professional | | $5.76 | $8.06 | $25.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $10.08 / $25.38
| Professional | | $5.76 | $10.08 | $25.38 |