- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $54.95 / $138.04
| Facility | | $25.70 | $54.95 | $138.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $16.60 / $50.12
| Professional | | $12.88 | $16.60 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $26.30 / $100.00
| Facility | | $16.98 | $26.30 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $18.62 / $39.81
| Professional | | $11.22 | $18.62 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.31 / $45.71 / $72.44
| Facility | | $36.31 | $45.71 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.78 / $17.78 / $23.99
| Professional | | $17.78 | $17.78 | $23.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.79 / $29.51 / $72.44
| Facility | | $14.79 | $29.51 | $72.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.80 / $22.91 / $31.62
| Professional | | $13.80 | $22.91 | $31.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.88 / $3,630.78 / $9,772.37
| Facility | | $21.88 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $31.62
| Professional | | $26.92 | $26.92 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $57.54
| Professional | | $18.62 | $18.62 | $57.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.78 / $39.81 / $102.33
| Facility | | $17.78 | $39.81 | $102.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $26.30 / $100.00
| Facility | | $16.98 | $26.30 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $18.62 / $39.81
| Professional | | $11.22 | $18.62 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $18.62 / $31.62
| Facility | | $10.72 | $18.62 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $15.85 / $44.67
| Professional | | $9.33 | $15.85 | $44.67 |