- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.30 / $61.66 / $134.00
| Facility | | $17.30 | $61.66 | $134.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $11.61 / $17.86
| Professional | | $9.30 | $11.61 | $17.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.87 / $31.09 / $108.48
| Facility | | $11.87 | $31.09 | $108.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $13.01 / $30.29
| Professional | | $6.24 | $13.01 | $30.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $36.86 / $64.45
| Facility | | $17.89 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $12.23 / $12.88
| Professional | | $12.23 | $12.23 | $12.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.09 / $19.32 / $44.43
| Facility | | $9.09 | $19.32 | $44.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.11 / $22.15
| Professional | | $7.91 | $12.11 | $22.15 |
- 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
- $18.67 / $18.67 / $21.97
| Professional | | $18.67 | $18.67 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.01 / $18.03 / $46.38
| Professional | | $13.01 | $18.03 | $46.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.70 / $16.32 / $28.22
| Facility | | $13.70 | $16.32 | $28.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.83 / $108.48 / $108.48
| Facility | | $39.83 | $108.48 | $108.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.81 / $21.80
| Professional | | $5.25 | $7.81 | $21.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $11.67 / $19.29
| Facility | | $10.07 | $11.67 | $19.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.81 / $21.80
| Professional | | $5.25 | $7.81 | $21.80 |