- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.03 / $50.40 / $134.62
| Facility | | $17.03 | $50.40 | $134.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $26.04 / $27.24
| Professional | | $8.86 | $26.04 | $27.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $29.65 / $142.80
| Facility | | $13.71 | $29.65 | $142.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $13.25 / $31.39
| Professional | | $7.21 | $13.25 | $31.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $40.31 / $73.03
| Facility | | $17.05 | $40.31 | $73.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.91 / $14.13 / $14.88
| Professional | | $11.91 | $14.13 | $14.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.29 / $22.31 / $51.39
| Facility | | $10.29 | $22.31 | $51.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $13.87 / $25.31
| Professional | | $8.94 | $13.87 | $25.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.31 / $3,472.00 / $9,239.00
| Facility | | $46.31 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.47 / $21.47 / $25.26
| Professional | | $21.47 | $21.47 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.03 / $20.83 / $53.61
| Professional | | $15.03 | $20.83 | $53.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.70 / $24.26 / $52.18
| Facility | | $17.70 | $24.26 | $52.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.29 / $142.80 / $142.80
| Facility | | $36.29 | $142.80 | $142.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.02 / $25.20
| Professional | | $5.25 | $9.02 | $25.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $9.02 / $25.20
| Professional | | $5.25 | $9.02 | $25.20 |