- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $31.10 / $82.13
| Facility | | $10.06 | $31.10 | $82.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $12.26 / $18.91
| Professional | | $10.06 | $12.26 | $18.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.33 / $23.52 / $81.00
| Facility | | $12.33 | $23.52 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $13.52 / $32.77
| Professional | | $6.49 | $13.52 | $32.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.35 / $37.68 / $65.88
| Facility | | $19.35 | $37.68 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.71 / $12.71 / $13.51
| Professional | | $12.71 | $12.71 | $13.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.44 / $20.09 / $46.19
| Facility | | $9.44 | $20.09 | $46.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.61 / $23.05
| Professional | | $8.11 | $12.61 | $23.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.89 / $3,472.00 / $9,239.00
| Facility | | $37.89 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $19.60 / $23.06
| Professional | | $19.60 | $19.60 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.52 / $18.73 / $48.21
| Professional | | $13.52 | $18.73 | $48.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.76 / $15.92 / $38.08
| Facility | | $13.76 | $15.92 | $38.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.52 / $81.00 / $81.00
| Facility | | $23.52 | $81.00 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.11 / $22.66
| Professional | | $5.25 | $8.11 | $22.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.08 / $8.11 / $9.28
| Facility | | $6.08 | $8.11 | $9.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.11 / $24.21
| Professional | | $5.25 | $8.11 | $24.21 |