- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $27.56 / $74.52
| Facility | | $9.30 | $27.56 | $74.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $10.91 / $11.10
| Professional | | $9.30 | $10.91 | $11.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $31.09 / $91.80
| Facility | | $11.18 | $31.09 | $91.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $12.25 / $29.84
| Professional | | $5.88 | $12.25 | $29.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $34.40 / $60.15
| Facility | | $17.89 | $34.40 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.52 / $11.52 / $12.49
| Professional | | $11.52 | $11.52 | $12.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.56 / $18.19 / $41.87
| Facility | | $8.56 | $18.19 | $41.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $11.35 / $20.79
| Professional | | $7.29 | $11.35 | $20.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.19 / $3,472.00 / $9,239.00
| Facility | | $44.19 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $17.73 / $20.86
| Professional | | $17.73 | $17.73 | $20.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.25 / $16.98 / $43.72
| Professional | | $12.25 | $16.98 | $43.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.72 / $15.36 / $73.62
| Facility | | $12.72 | $15.36 | $73.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.83 / $91.80 / $91.80
| Facility | | $39.83 | $91.80 | $91.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.35 / $20.61
| Professional | | $5.25 | $7.35 | $20.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.90 / $7.35 / $20.61
| Professional | | $4.90 | $7.35 | $20.61 |