- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $54.57 / $428.40
| Facility | | $13.25 | $54.57 | $428.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $13.58 / $15.59
| Professional | | $9.60 | $13.58 | $15.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.15 / $88.49 / $8,639.91
| Facility | | $68.15 | $88.49 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.16 / $12.16 / $12.16
| Professional | | $12.16 | $12.16 | $12.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.25 / $20.75 / $52.16
| Facility | | $10.25 | $20.75 | $52.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.76 / $27.50
| Professional | | $9.77 | $17.76 | $27.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.57 / $9.19 / $21.11
| Professional | | $6.57 | $9.19 | $21.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.33 / $47.72 / $711.98
| Facility | | $26.33 | $47.72 | $711.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.35 / $13.00 / $13.00
| Professional | | $9.35 | $13.00 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.25 / $42.69 / $271.04
| Facility | | $13.25 | $42.69 | $271.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.16 / $13.58 / $64.39
| Professional | | $12.16 | $13.58 | $64.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.43 / $23.68 / $52.16
| Facility | | $10.43 | $23.68 | $52.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $17.76 / $27.50
| Professional | | $9.77 | $17.76 | $27.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.59 / $15.59 / $15.59
| Facility | | $15.59 | $15.59 | $15.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.72 / $15.59 / $17.55
| Professional | | $13.72 | $15.59 | $17.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $9.98 / $29.80
| Professional | | $7.02 | $9.98 | $29.80 |