- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.09 / $36.08 / $94.10
| Facility | | $8.09 | $36.08 | $94.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.40 / $8.09 / $10.53
| Professional | | $7.40 | $8.09 | $10.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.68 / $25.16 / $85.00
| Facility | | $10.68 | $25.16 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $13.65 / $30.20
| Professional | | $5.70 | $13.65 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.73 / $32.76 / $57.28
| Facility | | $16.73 | $32.76 | $57.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $13.59 / $14.32
| Professional | | $10.87 | $13.59 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.39 / $16.92 / $32.79
| Facility | | $9.39 | $16.92 | $32.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $9.39 / $22.20
| Professional | | $6.14 | $9.39 | $22.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.35 / $3,472.00 / $9,239.00
| Facility | | $44.35 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.46 / $20.04 / $46.56
| Professional | | $14.46 | $20.04 | $46.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.38 / $11.07 / $15.32
| Facility | | $9.38 | $11.07 | $15.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.16 / $85.00 / $85.00
| Facility | | $25.16 | $85.00 | $85.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.68 / $17.93
| Professional | | $5.25 | $8.68 | $17.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.68 / $17.93
| Professional | | $5.25 | $8.68 | $17.93 |