- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $36.51 / $145.52
| Facility | | $11.98 | $36.51 | $145.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $10.91 / $13.06
| Professional | | $7.79 | $10.91 | $13.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $25.01 / $80.00
| Facility | | $10.94 | $25.01 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $11.98 / $29.18
| Professional | | $7.19 | $11.98 | $29.18 |
- 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
- $11.26 / $11.26 / $14.65
| Professional | | $11.26 | $11.26 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $18.73 / $46.32
| Facility | | $8.38 | $18.73 | $46.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $13.63 / $19.89
| Professional | | $7.06 | $13.63 | $19.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $52.95 / $3,472.00 / $9,239.00
| Facility | | $52.95 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $16.60 / $43.84
| Professional | | $11.98 | $16.60 | $43.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.77 / $15.03 / $98.98
| Facility | | $12.77 | $15.03 | $98.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.01 / $80.00 / $80.00
| Facility | | $25.01 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.39 / $7.19 / $24.18
| Professional | | $5.39 | $7.19 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.62 / $12.99 / $19.66
| Facility | | $11.62 | $12.99 | $19.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $7.19 / $24.18
| Professional | | $5.75 | $7.19 | $24.18 |