- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.53 / $64.72 / $196.79
| Facility | | $19.53 | $64.72 | $196.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.19 / $9.80 / $18.39
| Professional | | $9.19 | $9.80 | $18.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.41 / $25.67 / $112.35
| Facility | | $9.41 | $25.67 | $112.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.19 / $10.32 / $25.14
| Professional | | $6.19 | $10.32 | $25.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $28.67 / $50.13
| Facility | | $18.00 | $28.67 | $50.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $9.69 / $13.21
| Professional | | $9.69 | $9.69 | $13.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.21 / $15.34 / $35.26
| Facility | | $7.21 | $15.34 | $35.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $11.42 / $17.63
| Professional | | $6.24 | $11.42 | $17.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.78 / $3,472.00 / $9,239.00
| Facility | | $46.78 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.93 / $14.93 / $17.57
| Professional | | $14.93 | $14.93 | $17.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $14.30 / $38.42
| Professional | | $10.32 | $14.30 | $38.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.15 / $28.76 / $125.98
| Facility | | $12.15 | $28.76 | $125.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.67 / $112.35 / $112.35
| Facility | | $25.67 | $112.35 | $112.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $6.92 / $21.80
| Professional | | $4.95 | $6.92 | $21.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.98 / $12.38 / $22.95
| Facility | | $9.98 | $12.38 | $22.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.95 / $8.65 / $19.67
| Professional | | $4.95 | $8.65 | $19.67 |