- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.64 / $43.05 / $97.72
| Facility | | $14.64 | $43.05 | $97.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $10.38 / $10.98
| Professional | | $8.52 | $10.38 | $10.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.51 / $31.42 / $60.00
| Facility | | $10.51 | $31.42 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $11.53 / $28.08
| Professional | | $6.92 | $11.53 | $28.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $31.95 / $55.85
| Facility | | $20.05 | $31.95 | $55.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $10.84 / $14.75
| Professional | | $10.84 | $10.84 | $14.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.06 / $17.10 / $39.39
| Facility | | $8.06 | $17.10 | $39.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.87 / $12.74 / $19.43
| Professional | | $6.87 | $12.74 | $19.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $19.78
| Professional | | $16.80 | $16.80 | $19.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $15.98 / $42.91
| Professional | | $11.53 | $15.98 | $42.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.62 / $15.02 / $86.67
| Facility | | $12.62 | $15.02 | $86.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.42 / $60.00 / $60.00
| Facility | | $31.42 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $7.73 / $24.33
| Professional | | $5.53 | $7.73 | $24.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $8.91 / $21.98
| Professional | | $5.53 | $8.91 | $21.98 |