- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.19 / $37.22 / $111.23
| Facility | | $13.19 | $37.22 | $111.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.49 / $11.97 / $18.11
| Professional | | $11.49 | $11.97 | $18.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.03 / $22.95 / $105.40
| Facility | | $12.03 | $22.95 | $105.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $13.19 / $32.13
| Professional | | $6.33 | $13.19 | $32.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $36.86 / $64.45
| Facility | | $23.15 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.40 / $12.40 / $16.87
| Professional | | $12.40 | $12.40 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $19.57 / $45.05
| Facility | | $9.22 | $19.57 | $45.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $14.58 / $22.15
| Professional | | $7.91 | $14.58 | $22.15 |
- 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
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $18.28 / $49.08
| Professional | | $13.19 | $18.28 | $49.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.78 / $34.38 / $97.83
| Facility | | $27.78 | $34.38 | $97.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.95 / $105.40 / $105.40
| Facility | | $22.95 | $105.40 | $105.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.91 / $27.84
| Professional | | $5.25 | $7.91 | $27.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.91 / $27.84
| Professional | | $5.25 | $7.91 | $27.84 |