- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $39.11 / $83.82
| Facility | | $9.58 | $39.11 | $83.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.15 / $8.61 / $16.39
| Professional | | $8.15 | $8.61 | $16.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.74 / $16.67 / $68.00
| Facility | | $8.74 | $16.67 | $68.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.59 / $8.44 / $20.00
| Professional | | $4.59 | $8.44 | $20.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $26.08 / $47.25
| Facility | | $10.99 | $26.08 | $47.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.67 / $9.01 / $9.48
| Professional | | $7.67 | $9.01 | $9.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.63 / $13.98 / $32.70
| Facility | | $6.63 | $13.98 | $32.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.83 / $8.83 / $16.27
| Professional | | $5.83 | $8.83 | $16.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.33 / $3,472.00 / $9,239.00
| Facility | | $26.33 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.01 / $14.01 / $16.48
| Professional | | $14.01 | $14.01 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $13.28 / $34.15
| Professional | | $9.58 | $13.28 | $34.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.82 / $15.64 / $67.67
| Facility | | $7.82 | $15.64 | $67.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.67 / $68.00 / $68.00
| Facility | | $16.67 | $68.00 | $68.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $5.75 / $16.04
| Professional | | $4.20 | $5.75 | $16.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.44 / $9.77 / $15.46
| Facility | | $6.44 | $9.77 | $15.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.20 / $5.75 / $16.04
| Professional | | $4.20 | $5.75 | $16.04 |