- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.28 / $31.51 / $71.98
| Facility | | $11.28 | $31.51 | $71.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.68 / $11.28 / $20.25
| Professional | | $10.68 | $11.28 | $20.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $20.60 / $94.00
| Facility | | $10.80 | $20.60 | $94.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.68 / $11.84 / $28.84
| Professional | | $5.68 | $11.84 | $28.84 |
- 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
- $11.13 / $11.13 / $15.15
| Professional | | $11.13 | $11.13 | $15.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $17.57 / $40.46
| Facility | | $8.27 | $17.57 | $40.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $13.10 / $19.89
| Professional | | $7.08 | $13.10 | $19.89 |
- 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
- $11.84 / $16.41 / $44.05
| Professional | | $11.84 | $16.41 | $44.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.48 / $14.48 / $14.48
| Facility | | $14.48 | $14.48 | $14.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.60 / $94.00 / $94.00
| Facility | | $20.60 | $94.00 | $94.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $7.10 / $25.01
| Professional | | $3.15 | $7.10 | $25.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.55 / $7.10 / $46.95
| Professional | | $3.55 | $7.10 | $46.95 |