- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $33.36 / $208.68
| Facility | | $11.82 | $33.36 | $208.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $10.64 / $11.26
| Professional | | $8.47 | $10.64 | $11.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $25.22 / $73.00
| Facility | | $10.79 | $25.22 | $73.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.67 / $11.82 / $28.79
| Professional | | $5.67 | $11.82 | $28.79 |
- 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
- $11.11 / $11.11 / $15.12
| Professional | | $11.11 | $11.11 | $15.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.26 / $17.55 / $40.42
| Facility | | $8.26 | $17.55 | $40.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $13.08 / $19.89
| Professional | | $7.08 | $13.08 | $19.89 |
- 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
- $11.82 / $16.38 / $44.02
| Professional | | $11.82 | $16.38 | $44.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.45 / $24.90 / $92.46
| Facility | | $12.45 | $24.90 | $92.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.22 / $73.00 / $73.00
| Facility | | $25.22 | $73.00 | $73.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.09 / $24.96
| Professional | | $5.25 | $7.09 | $24.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.09 / $24.96
| Professional | | $5.25 | $7.09 | $24.96 |