- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $30.04 / $79.76
| Facility | | $9.84 | $30.04 | $79.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $9.84 / $14.18
| Professional | | $9.30 | $9.84 | $14.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $20.36 / $76.81
| Facility | | $9.42 | $20.36 | $76.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $10.33 / $25.16
| Professional | | $6.20 | $10.33 | $25.16 |
- 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
- $9.71 / $9.71 / $13.22
| Professional | | $9.71 | $9.71 | $13.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.22 / $15.34 / $35.29
| Facility | | $7.22 | $15.34 | $35.29 |
- 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
- $47.19 / $3,472.00 / $9,239.00
| Facility | | $47.19 | $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
- $10.33 / $14.32 / $38.46
| Professional | | $10.33 | $14.32 | $38.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.58 / $12.96 / $58.96
| Facility | | $12.58 | $12.96 | $58.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.36 / $76.81 / $76.81
| Facility | | $20.36 | $76.81 | $76.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $6.93 / $21.80
| Professional | | $4.96 | $6.93 | $21.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $8.66 / $19.69
| Professional | | $4.96 | $8.66 | $19.69 |