- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $36.72 / $109.78
| Facility | | $12.05 | $36.72 | $109.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $11.48 / $17.60
| Professional | | $10.74 | $11.48 | $17.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $33.53 / $79.81
| Facility | | $10.99 | $33.53 | $79.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $12.05 / $29.35
| Professional | | $7.23 | $12.05 | $29.35 |
- 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
- $11.33 / $11.33 / $15.42
| Professional | | $11.33 | $11.33 | $15.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $17.89 / $41.18
| Facility | | $8.42 | $17.89 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.63 / $20.82
| Professional | | $7.29 | $13.63 | $20.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $55.09 / $6,679.00
| Facility | | $14.34 | $55.09 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.29 / $15.88 / $20.32
| Professional | | $12.29 | $15.88 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $16.70 / $47.91
| Professional | | $12.05 | $16.70 | $47.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.83 / $15.70 / $104.18
| Facility | | $12.83 | $15.70 | $104.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $60.63 / $79.81 / $79.81
| Facility | | $60.63 | $79.81 | $79.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $8.08 / $25.44
| Professional | | $5.78 | $8.08 | $25.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $12.05 / $14.46
| Facility | | $10.85 | $12.05 | $14.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.23 / $22.97
| Professional | | $5.78 | $7.23 | $22.97 |