- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $54.64 / $360.76
| Facility | | $15.50 | $54.64 | $360.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $15.98 / $61.60
| Professional | | $14.56 | $15.98 | $61.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.36 / $31.20 / $100.00
| Facility | | $16.36 | $31.20 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.76 / $17.93 / $43.67
| Professional | | $10.76 | $17.93 | $43.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.38 / $49.96 / $87.35
| Facility | | $31.38 | $49.96 | $87.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.85 / $16.85 / $20.81
| Professional | | $16.85 | $16.85 | $20.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.53 / $14.96 / $40.78
| Facility | | $12.53 | $14.96 | $40.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $20.65 / $28.02
| Professional | | $10.56 | $20.65 | $28.02 |
- 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
- $25.68 / $25.68 / $30.21
| Professional | | $25.68 | $25.68 | $30.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.93 / $24.85 / $66.77
| Professional | | $17.93 | $24.85 | $66.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.26 / $127.14 / $554.08
| Facility | | $73.26 | $127.14 | $554.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.20 / $100.00 / $100.00
| Facility | | $31.20 | $100.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $10.76 / $34.18
| Professional | | $7.75 | $10.76 | $34.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $18.00 / $18.00
| Facility | | $18.00 | $18.00 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $10.76 / $33.21
| Professional | | $7.75 | $10.76 | $33.21 |