- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.44 / $31.95 / $153.07
| Facility | | $11.44 | $31.95 | $153.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $30.96 / $32.13
| Professional | | $10.71 | $30.96 | $32.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.95 / $33.40 / $78.00
| Facility | | $10.95 | $33.40 | $78.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $12.01 / $29.25
| Professional | | $5.76 | $12.01 | $29.25 |
- 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
- $11.29 / $11.29 / $15.36
| Professional | | $11.29 | $11.29 | $15.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.40 / $17.84 / $41.03
| Facility | | $8.40 | $17.84 | $41.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.28 / $20.34
| Professional | | $7.29 | $13.28 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.89 / $3,472.00 / $9,239.00
| Facility | | $32.89 | $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
- $12.01 / $16.64 / $44.69
| Professional | | $12.01 | $16.64 | $44.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $41.40 / $46.95
| Facility | | $13.80 | $41.40 | $46.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.52 / $78.00 / $78.00
| Facility | | $34.52 | $78.00 | $78.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.21 / $25.35
| Professional | | $5.25 | $7.21 | $25.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $12.38 / $15.18
| Professional | | $10.59 | $12.38 | $15.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.07 / $29.88
| Professional | | $5.25 | $10.07 | $29.88 |