- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $24.77 / $45.17
| Facility | | $8.86 | $24.77 | $45.17 |
- 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
- $12.03 / $28.76 / $70.00
| Facility | | $12.03 | $28.76 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $13.19 / $28.89
| Professional | | $6.33 | $13.19 | $28.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $36.17 / $64.45
| Facility | | $17.05 | $36.17 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.91 / $12.40 / $13.06
| Professional | | $11.91 | $12.40 | $13.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.22 / $19.57 / $45.05
| Facility | | $9.22 | $19.57 | $45.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $12.36 / $22.15
| Professional | | $7.91 | $12.36 | $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
- $19.14 / $19.14 / $22.51
| Professional | | $19.14 | $19.14 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $18.28 / $47.03
| Professional | | $13.19 | $18.28 | $47.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $300.02 / $300.02 / $300.02
| Facility | | $300.02 | $300.02 | $300.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.76 / $70.00 / $70.00
| Facility | | $28.76 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.91 / $22.12
| Professional | | $5.25 | $7.91 | $22.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.94 / $6.60 / $9.05
| Facility | | $5.94 | $6.60 | $9.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.91 / $22.12
| Professional | | $5.25 | $7.91 | $22.12 |