- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $44.56 / $133.16
| Facility | | $15.84 | $44.56 | $133.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $14.28 / $16.50
| Professional | | $9.30 | $14.28 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $31.09 / $114.75
| Facility | | $14.45 | $31.09 | $114.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.60 / $13.97 / $33.08
| Professional | | $7.60 | $13.97 | $33.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.89 / $42.68 / $77.33
| Facility | | $17.89 | $42.68 | $77.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.49 / $14.89 / $15.68
| Professional | | $12.49 | $14.89 | $15.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $23.53 / $54.15
| Facility | | $10.79 | $23.53 | $54.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $14.63 / $26.67
| Professional | | $9.58 | $14.63 | $26.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.47 / $3,472.00 / $9,239.00
| Facility | | $39.47 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.88 / $22.88 / $26.91
| Professional | | $22.88 | $22.88 | $26.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.84 / $21.95 / $56.50
| Professional | | $15.84 | $21.95 | $56.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.72 / $19.29 / $167.28
| Facility | | $12.72 | $19.29 | $167.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $114.75 / $114.75
| Facility | | $36.29 | $114.75 | $114.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.50 / $26.57
| Professional | | $5.25 | $9.50 | $26.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.48 / $15.84 / $25.57
| Facility | | $10.48 | $15.84 | $25.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.50 / $62.82
| Professional | | $5.25 | $9.50 | $62.82 |