- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.82 / $32.76 / $134.21
| Facility | | $13.82 | $32.76 | $134.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $10.44 / $11.61
| Professional | | $10.11 | $10.44 | $11.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.59 / $32.29 / $137.50
| Facility | | $10.59 | $32.29 | $137.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.97 / $11.61 / $28.28
| Professional | | $6.97 | $11.61 | $28.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.91 / $34.65 / $57.28
| Facility | | $22.91 | $34.65 | $57.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.91 / $10.91 / $11.49
| Professional | | $10.91 | $10.91 | $11.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.11 / $17.23 / $39.65
| Facility | | $8.11 | $17.23 | $39.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $12.82 / $19.43
| Professional | | $7.08 | $12.82 | $19.43 |
- 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
- $16.80 / $16.80 / $19.78
| Professional | | $16.80 | $16.80 | $19.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $16.09 / $43.22
| Professional | | $11.61 | $16.09 | $43.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.47 / $15.12 / $66.53
| Facility | | $13.47 | $15.12 | $66.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.74 / $137.50 / $137.50
| Facility | | $86.74 | $137.50 | $137.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.78 / $24.48
| Professional | | $5.57 | $7.78 | $24.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.78 / $22.13
| Professional | | $5.57 | $7.78 | $22.13 |