- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.91 / $30.48 / $85.14
| Facility | | $10.91 | $30.48 | $85.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $10.91 / $20.95
| Professional | | $10.74 | $10.91 | $20.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $24.20 / $83.01
| Facility | | $10.94 | $24.20 | $83.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $13.91 / $33.88
| Professional | | $8.35 | $13.91 | $33.88 |
- 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
- $13.08 / $13.08 / $14.65
| Professional | | $13.08 | $13.08 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $18.09 / $40.99
| Facility | | $9.72 | $18.09 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $16.11 / $21.16
| Professional | | $8.33 | $16.11 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.55 / $67.88 / $6,679.00
| Facility | | $16.55 | $67.88 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.19 / $18.32 / $23.62
| Professional | | $14.19 | $18.32 | $23.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.91 / $19.28 / $45.21
| Professional | | $13.91 | $19.28 | $45.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.25 / $17.82 / $64.58
| Facility | | $16.25 | $17.82 | $64.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.20 / $83.01 / $83.01
| Facility | | $24.20 | $83.01 | $83.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $8.35 / $24.18
| Professional | | $5.95 | $8.35 | $24.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $8.35 / $21.48
| Professional | | $5.95 | $8.35 | $21.48 |