- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $32.36 / $213.19
| Facility | | $11.47 | $32.36 | $213.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.33 / $20.66
| Professional | | $10.00 | $10.33 | $20.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.47 / $31.92 / $69.00
| Facility | | $10.47 | $31.92 | $69.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $11.47 / $27.94
| Professional | | $5.51 | $11.47 | $27.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $31.95 / $55.85
| Facility | | $20.05 | $31.95 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $10.78 / $14.67
| Professional | | $10.78 | $10.78 | $14.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $17.02 / $39.20
| Facility | | $8.02 | $17.02 | $39.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $12.68 / $19.43
| Professional | | $6.87 | $12.68 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.91 / $3,472.00 / $9,239.00
| Facility | | $51.91 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $16.32 / $19.22
| Professional | | $16.32 | $16.32 | $19.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $15.90 / $42.71
| Professional | | $11.47 | $15.90 | $42.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.26 / $13.31 / $48.36
| Facility | | $12.26 | $13.31 | $48.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.52 / $69.00 / $69.00
| Facility | | $34.52 | $69.00 | $69.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.88 / $24.23
| Professional | | $5.25 | $6.88 | $24.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $11.47 / $13.76
| Facility | | $10.32 | $11.47 | $13.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $6.88 / $21.86
| Professional | | $5.25 | $6.88 | $21.86 |