- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.21 / $42.92 / $118.38
| Facility | | $15.21 | $42.92 | $118.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $13.69 / $15.84
| Professional | | $9.30 | $13.69 | $15.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.87 / $26.47 / $86.70
| Facility | | $13.87 | $26.47 | $86.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $15.21 / $31.76
| Professional | | $7.30 | $15.21 | $31.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $41.11 / $74.48
| Facility | | $17.89 | $41.11 | $74.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.49 / $14.30 / $15.06
| Professional | | $12.49 | $14.30 | $15.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.63 / $22.59 / $51.97
| Facility | | $10.63 | $22.59 | $51.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.16 / $14.12 / $25.76
| Professional | | $9.16 | $14.12 | $25.76 |
- 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
- $21.94 / $21.94 / $25.81
| Professional | | $21.94 | $21.94 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.21 / $21.08 / $54.25
| Professional | | $15.21 | $21.08 | $54.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.72 / $17.48 / $67.72
| Facility | | $12.72 | $17.48 | $67.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.47 / $86.70 / $86.70
| Facility | | $26.47 | $86.70 | $86.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.13 / $25.50
| Professional | | $5.25 | $9.13 | $25.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.13 / $25.50
| Professional | | $5.25 | $9.13 | $25.50 |