- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.43 / $32.86 / $62.09
| Facility | | $10.43 | $32.86 | $62.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $11.40 / $20.05
| Professional | | $10.43 | $11.40 | $20.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.79 / $25.42 / $102.56
| Facility | | $10.79 | $25.42 | $102.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.77 / $14.61 / $33.96
| Professional | | $8.77 | $14.61 | $33.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.73 / $13.73 / $14.46
| Professional | | $13.73 | $13.73 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.21 / $17.86 / $37.40
| Facility | | $10.21 | $17.86 | $37.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $12.10 / $22.20
| Professional | | $7.95 | $12.10 | $22.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.55 / $3,472.00 / $9,239.00
| Facility | | $49.55 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.00 / $21.00 / $24.70
| Professional | | $21.00 | $21.00 | $24.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.61 / $20.25 / $47.04
| Professional | | $14.61 | $20.25 | $47.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.35 / $10.35 / $10.35
| Facility | | $10.35 | $10.35 | $10.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.42 / $102.56 / $102.56
| Facility | | $25.42 | $102.56 | $102.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.84 / $8.77 / $23.10
| Professional | | $5.84 | $8.77 | $23.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.14 / $9.17 / $23.10
| Professional | | $6.14 | $9.17 | $23.10 |