- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.71 / $39.42 / $113.40
| Facility | | $13.71 | $39.42 | $113.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $13.07 / $14.99
| Professional | | $12.10 | $13.07 | $14.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.13 / $30.12 / $80.00
| Facility | | $13.13 | $30.12 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.14 / $14.39 / $35.04
| Professional | | $7.14 | $14.39 | $35.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $40.14 / $70.18
| Facility | | $25.21 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $18.41
| Professional | | $13.53 | $13.53 | $18.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.06 / $22.43 / $55.57
| Facility | | $10.06 | $22.43 | $55.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.47 / $16.52 / $23.95
| Professional | | $8.47 | $16.52 | $23.95 |
- 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
- $20.54 / $20.54 / $24.16
| Professional | | $20.54 | $20.54 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.39 / $19.94 / $53.57
| Professional | | $14.39 | $19.94 | $53.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.16 / $18.75 / $31.50
| Facility | | $15.16 | $18.75 | $31.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.12 / $80.00 / $80.00
| Facility | | $30.12 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.63 / $30.38
| Professional | | $5.25 | $8.63 | $30.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.76 / $8.63 / $30.38
| Professional | | $5.76 | $8.63 | $30.38 |