- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $47.55 / $113.90
| Facility | | $13.61 | $47.55 | $113.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $14.69 / $16.29
| Professional | | $13.61 | $14.69 | $16.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.37 / $35.24 / $80.19
| Facility | | $15.37 | $35.24 | $80.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $16.85 / $41.04
| Professional | | $8.35 | $16.85 | $41.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.96 / $47.50 / $83.05
| Facility | | $27.96 | $47.50 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.84 / $15.84 / $18.27
| Professional | | $15.84 | $15.84 | $18.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.77 / $26.26 / $65.03
| Facility | | $11.77 | $26.26 | $65.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.92 / $19.41 / $28.02
| Professional | | $9.92 | $19.41 | $28.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.28 / $24.28 / $28.56
| Professional | | $24.28 | $24.28 | $28.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.85 / $23.35 / $60.09
| Professional | | $16.85 | $23.35 | $60.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.73 / $18.62 / $31.29
| Facility | | $17.73 | $18.62 | $31.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.24 / $80.19 / $80.19
| Facility | | $35.24 | $80.19 | $80.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.11 / $32.11
| Professional | | $5.25 | $10.11 | $32.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.74 / $10.11 / $30.17
| Professional | | $6.74 | $10.11 | $30.17 |