- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $86.78 / $693.00
| Facility | | $8.44 | $86.78 | $693.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.92 / $8.44 / $51.81
| Professional | | $7.92 | $8.44 | $51.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.65 / $179.22 / $179.22
| Facility | | $65.65 | $179.22 | $179.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.23 / $22.97
| Professional | | $5.78 | $7.23 | $22.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.26 / $29.14 / $48.15
| Facility | | $19.26 | $29.14 | $48.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $11.33 / $37.35
| Professional | | $11.33 | $11.33 | $37.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.91 / $8.42 / $85.82
| Facility | | $7.91 | $8.42 | $85.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $45.84 / $70.67
| Professional | | $6.75 | $45.84 | $70.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.85 / $3,472.00 / $9,239.00
| Facility | | $39.85 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $54.60 / $54.60 / $64.23
| Professional | | $54.60 | $54.60 | $64.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $30.26 / $37.72 / $78.36
| Professional | | $30.26 | $37.72 | $78.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.51 / $45.96 / $388.35
| Facility | | $18.51 | $45.96 | $388.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.65 / $179.22 / $179.22
| Facility | | $65.65 | $179.22 | $179.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.23 / $22.97
| Professional | | $5.78 | $7.23 | $22.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $37.72
| Professional | | $5.05 | $7.23 | $37.72 |