- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.67 / $69.29 / $338.27
| Facility | | $17.67 | $69.29 | $338.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.80 / $9.07 / $9.30
| Professional | | $8.80 | $9.07 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $28.32 / $143.18
| Facility | | $9.27 | $28.32 | $143.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.11 / $10.18 / $24.80
| Professional | | $6.11 | $10.18 | $24.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $28.67 / $50.13
| Facility | | $18.00 | $28.67 | $50.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.57 / $9.57 / $12.49
| Professional | | $9.57 | $9.57 | $12.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.11 / $15.11 / $34.76
| Facility | | $7.11 | $15.11 | $34.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $10.79 / $17.17
| Professional | | $6.04 | $10.79 | $17.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.60 / $3,472.00 / $9,239.00
| Facility | | $44.60 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.47 / $14.47 / $17.02
| Professional | | $14.47 | $14.47 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.18 / $14.11 / $37.36
| Professional | | $10.18 | $14.11 | $37.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.77 / $50.88 / $392.23
| Facility | | $12.77 | $50.88 | $392.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $143.18 / $143.18
| Facility | | $32.31 | $143.18 | $143.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.88 / $6.83 / $20.61
| Professional | | $4.88 | $6.83 | $20.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $10.18 / $12.35
| Professional | | $8.98 | $10.18 | $12.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.07 / $6.11 / $18.76
| Professional | | $4.07 | $6.11 | $18.76 |