- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.48 / $35.28 / $91.23
| Facility | | $11.48 | $35.28 | $91.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $11.48 / $277.06
| Professional | | $10.74 | $11.48 | $277.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $34.25 / $132.82
| Facility | | $10.99 | $34.25 | $132.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.08 / $12.31 / $29.98
| Professional | | $8.08 | $12.31 | $29.98 |
- 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
- $11.57 / $11.57 / $15.42
| Professional | | $11.57 | $11.57 | $15.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.60 / $17.89 / $41.18
| Facility | | $8.60 | $17.89 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $13.33 / $20.82
| Professional | | $7.49 | $13.33 | $20.82 |
- 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
- $17.73 / $17.73 / $20.86
| Professional | | $17.73 | $17.73 | $20.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.31 / $17.05 / $44.86
| Professional | | $12.31 | $17.05 | $44.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.90 / $132.82 / $132.82
| Facility | | $100.90 | $132.82 | $132.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $12.31 / $25.44
| Professional | | $7.39 | $12.31 | $25.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.08 / $12.31 / $14.77
| Facility | | $11.08 | $12.31 | $14.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $11.45 / $21.58
| Professional | | $7.39 | $11.45 | $21.58 |