- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $37.26 / $80.17
| Facility | | $8.27 | $37.26 | $80.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $8.27 / $17.36
| Professional | | $8.27 | $8.27 | $17.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.03 / $27.68 / $76.95
| Facility | | $12.03 | $27.68 | $76.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $16.19 / $33.83
| Professional | | $6.54 | $16.19 | $33.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.92 / $35.58 / $64.45
| Facility | | $15.92 | $35.58 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.12 / $15.23 / $16.04
| Professional | | $11.12 | $15.23 | $16.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.58 / $20.84 / $45.05
| Facility | | $10.58 | $20.84 | $45.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.58 / $12.36 / $24.78
| Professional | | $9.58 | $12.36 | $24.78 |
- 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
- $23.34 / $23.34 / $27.46
| Professional | | $23.34 | $23.34 | $27.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.20 / $22.45 / $52.16
| Professional | | $16.20 | $22.45 | $52.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.89 / $19.73 / $20.30
| Facility | | $13.89 | $19.73 | $20.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $76.95 / $76.95
| Facility | | $28.76 | $76.95 | $76.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.72 / $22.12
| Professional | | $5.25 | $9.72 | $22.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.72 / $23.61
| Professional | | $5.25 | $9.72 | $23.61 |