- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $43.15 / $72.91
| Facility | | $15.29 | $43.15 | $72.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.65 / $10.91 / $23.55
| Professional | | $7.65 | $10.91 | $23.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.30 / $26.60 / $80.00
| Facility | | $11.30 | $26.60 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $15.29 / $37.24
| Professional | | $9.17 | $15.29 | $37.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.61 / $34.40 / $60.15
| Facility | | $21.61 | $34.40 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.37 / $14.37 / $15.14
| Professional | | $14.37 | $14.37 | $15.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.05 / $19.78 / $46.32
| Facility | | $10.05 | $19.78 | $46.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $17.35 / $23.24
| Professional | | $8.02 | $17.35 | $23.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.80 / $53.00 / $6,679.00
| Facility | | $16.80 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.60 / $20.14 / $25.81
| Professional | | $15.60 | $20.14 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.29 / $21.19 / $49.23
| Professional | | $15.29 | $21.19 | $49.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $19.18 / $19.18
| Facility | | $18.62 | $19.18 | $19.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.60 / $80.00 / $80.00
| Facility | | $26.60 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $9.17 / $27.30
| Professional | | $6.12 | $9.17 | $27.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.42 / $9.61 / $21.48
| Professional | | $6.42 | $9.61 | $21.48 |