- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $38.68 / $95.01
| Facility | | $15.30 | $38.68 | $95.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $9.91 / $10.31
| Professional | | $9.34 | $9.91 | $10.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.97 / $60.00 / $60.00
| Facility | | $20.97 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $6.92 / $20.18
| Professional | | $4.61 | $6.92 | $20.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.72 / $28.32 / $46.80
| Facility | | $18.72 | $28.32 | $46.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $10.84 / $11.93
| Professional | | $10.84 | $10.84 | $11.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $8.06 / $27.41
| Facility | | $7.56 | $8.06 | $27.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $14.87 / $22.35
| Professional | | $6.46 | $14.87 | $22.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.15 / $3,472.00 / $9,239.00
| Facility | | $38.15 | $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
- $12.05 / $15.91 / $32.97
| Professional | | $12.05 | $15.91 | $32.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.97 / $41.75 / $87.74
| Facility | | $11.97 | $41.75 | $87.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.97 / $60.00 / $60.00
| Facility | | $20.97 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $6.92 / $20.18
| Professional | | $4.61 | $6.92 | $20.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $12.29 / $19.45
| Facility | | $8.52 | $12.29 | $19.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $10.45 / $13.04
| Professional | | $8.52 | $10.45 | $13.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.42 / $7.23 / $8.27
| Facility | | $5.42 | $7.23 | $8.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $6.92 / $17.30
| Professional | | $4.61 | $6.92 | $17.30 |