- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.30 / $38.09 / $117.18
| Facility | | $15.30 | $38.09 | $117.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $10.87 / $21.00
| Professional | | $7.83 | $10.87 | $21.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $33.53 / $133.86
| Facility | | $10.99 | $33.53 | $133.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $12.05 / $28.72
| Professional | | $6.30 | $12.05 | $28.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.88 / $43.44 / $75.95
| Facility | | $23.88 | $43.44 | $75.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $11.33 / $15.42
| Professional | | $11.33 | $11.33 | $15.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $18.18 / $41.18
| Facility | | $8.42 | $18.18 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $19.61 / $51.31
| Professional | | $9.27 | $19.61 | $51.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $44.85 / $6,679.00
| Facility | | $12.29 | $44.85 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $19.43 / $41.18
| Professional | | $13.26 | $19.43 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $16.70 / $44.86
| Professional | | $12.05 | $16.70 | $44.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.12 / $32.04 / $122.33
| Facility | | $15.12 | $32.04 | $122.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.02 / $133.86 / $133.86
| Facility | | $45.02 | $133.86 | $133.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.23 / $25.44
| Professional | | $5.78 | $7.23 | $25.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $10.10 / $29.99
| Professional | | $5.97 | $10.10 | $29.99 |