- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $33.15 / $75.69
| Facility | | $11.87 | $33.15 | $75.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.24 / $11.87 / $21.38
| Professional | | $11.24 | $11.87 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.36 / $34.65 / $210.00
| Facility | | $11.36 | $34.65 | $210.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.48 / $12.46 / $30.35
| Professional | | $7.48 | $12.46 | $30.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.28 / $35.22 / $61.58
| Facility | | $21.28 | $35.22 | $61.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.71 / $11.71 / $15.93
| Professional | | $11.71 | $11.71 | $15.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.71 / $18.50 / $42.56
| Facility | | $8.71 | $18.50 | $42.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $13.77 / $21.24
| Professional | | $7.49 | $13.77 | $21.24 |
- 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
- $18.20 / $18.20 / $21.41
| Professional | | $18.20 | $18.20 | $21.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $17.27 / $46.36
| Professional | | $12.46 | $17.27 | $46.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.63 / $15.63 / $16.23
| Facility | | $15.63 | $15.63 | $16.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $210.00 / $210.00
| Facility | | $36.29 | $210.00 | $210.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $8.35 / $26.30
| Professional | | $5.98 | $8.35 | $26.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.98 / $10.44 / $49.41
| Professional | | $5.98 | $10.44 | $49.41 |