- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $43.65 / $97.72
| Facility | | $16.98 | $43.65 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $16.60 / $134.90
| Professional | | $7.94 | $16.60 | $134.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $23.44 / $100.00
| Facility | | $15.14 | $23.44 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $18.20 / $42.66
| Professional | | $6.31 | $18.20 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.36 / $40.74 / $58.88
| Facility | | $32.36 | $40.74 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.48 / $19.05 / $19.95
| Professional | | $11.48 | $19.05 | $19.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $18.20 / $34.67
| Facility | | $10.00 | $18.20 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $23.44 / $30.90
| Professional | | $6.92 | $23.44 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $3,630.78 / $9,772.37
| Facility | | $10.72 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.51 / $29.51 / $34.67
| Professional | | $29.51 | $29.51 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $43.65
| Professional | | $20.42 | $20.42 | $43.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.14 / $23.44 / $100.00
| Facility | | $15.14 | $23.44 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $18.20 / $42.66
| Professional | | $6.31 | $18.20 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $15.14 / $20.42
| Facility | | $7.59 | $15.14 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $12.30 / $38.02
| Professional | | $6.31 | $12.30 | $38.02 |