- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $24.38 / $62.14
| Facility | | $9.72 | $24.38 | $62.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $9.41 / $16.47
| Professional | | $7.32 | $9.41 | $16.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.21 / $32.28 / $68.48
| Facility | | $16.21 | $32.28 | $68.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.19 / $18.30
| Professional | | $5.00 | $7.19 | $18.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $80.00
| Facility | | $13.07 | $13.07 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $27.37 / $58.52
| Facility | | $11.79 | $27.37 | $58.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.31 / $22.36
| Professional | | $6.50 | $8.31 | $22.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.41 / $177.65 / $224.00
| Facility | | $85.41 | $177.65 | $224.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $386.00 / $605.22 / $605.22
| Professional | | $386.00 | $605.22 | $605.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $15.53 / $28.60
| Facility | | $10.19 | $15.53 | $28.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.42 / $13.07 / $16.34
| Professional | | $12.42 | $13.07 | $16.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.50 / $15.68 / $29.41
| Professional | | $8.50 | $15.68 | $29.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $16.87 / $55.93
| Facility | | $10.19 | $16.87 | $55.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.52 / $12.33 / $22.40
| Professional | | $6.52 | $12.33 | $22.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.84 / $8.42 / $23.99
| Professional | | $7.84 | $8.42 | $23.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $6.77 / $13.07
| Professional | | $5.72 | $6.77 | $13.07 |