- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $24.77 / $52.06
| Facility | | $8.86 | $24.77 | $52.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $8.86 / $18.59
| Professional | | $8.86 | $8.86 | $18.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.17 / $21.32 / $81.00
| Facility | | $11.17 | $21.32 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.88 / $12.25 / $28.89
| Professional | | $5.88 | $12.25 | $28.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $34.40 / $60.15
| Facility | | $17.05 | $34.40 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.52 / $11.52 / $12.13
| Professional | | $11.52 | $11.52 | $12.13 |
- 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
- $32.63 / $3,472.00 / $9,239.00
| Facility | | $32.63 | $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 / $43.69
| Professional | | $12.25 | $16.98 | $43.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.32 / $81.00 / $81.00
| Facility | | $21.32 | $81.00 | $81.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.35 / $20.54
| Professional | | $5.25 | $7.35 | $20.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.03 / $12.25 / $14.70
| Facility | | $11.03 | $12.25 | $14.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.35 / $20.54
| Professional | | $5.25 | $7.35 | $20.54 |