- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.16 / $38.90 / $305.77
| Facility | | $12.16 | $38.90 | $305.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $11.48 / $23.02
| Professional | | $9.66 | $11.48 | $23.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.88 / $12.88 / $62.73
| Facility | | $12.88 | $12.88 | $62.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $6.36 / $7.79
| Professional | | $6.36 | $6.36 | $7.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $38.15 / $58.32 / $87.30
| Professional | | $38.15 | $58.32 | $87.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $31.41 / $65.40
| Facility | | $9.00 | $31.41 | $65.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $8.64 / $14.87
| Professional | | $7.30 | $8.64 | $14.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.46 / $16.10 / $19.05
| Professional | | $15.46 | $16.10 | $19.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.80 / $11.68 / $15.25
| Facility | | $10.80 | $11.68 | $15.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $19.48 / $32.00
| Professional | | $16.98 | $19.48 | $32.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.02 / $17.69 / $4,071.00
| Facility | | $10.02 | $17.69 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $17.57 / $4,071.00
| Professional | | $10.02 | $17.57 | $4,071.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.61 / $12.88
| Professional | | $5.41 | $7.61 | $12.88 |