- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.76 / $33.86 / $160.88
| Facility | | $14.76 | $33.86 | $160.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $10.81 / $11.43
| Professional | | $10.71 | $10.81 | $11.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $31.86 / $142.00
| Facility | | $10.94 | $31.86 | $142.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $12.00 / $29.23
| Professional | | $5.76 | $12.00 | $29.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.28 / $11.28 / $15.35
| Professional | | $11.28 | $11.28 | $15.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.39 / $17.84 / $41.03
| Facility | | $8.39 | $17.84 | $41.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.27 / $20.34
| Professional | | $7.29 | $13.27 | $20.34 |
- 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
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $16.63 / $44.66
| Professional | | $12.00 | $16.63 | $44.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.18 / $15.70 / $83.99
| Facility | | $14.18 | $15.70 | $83.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.86 / $142.00 / $142.00
| Facility | | $31.86 | $142.00 | $142.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.20 / $25.34
| Professional | | $5.25 | $7.20 | $25.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.05 / $25.34
| Professional | | $5.25 | $8.05 | $25.34 |