- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.13 / $17.09 / $358.71
| Facility | | $12.13 | $17.09 | $358.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.69 / $13.67 / $27.87
| Professional | | $9.69 | $13.67 | $27.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.46 / $12.46 / $38.45
| Professional | | $12.46 | $12.46 | $38.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.60 / $23.23 / $23.23
| Facility | | $21.60 | $23.23 | $23.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.23 / $23.23 / $23.23
| Professional | | $23.23 | $23.23 | $23.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.71 / $33.71 / $33.71
| Facility | | $33.71 | $33.71 | $33.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.25 / $12.25 / $23.24
| Professional | | $12.25 | $12.25 | $23.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.95 / $41.81 / $332.00
| Facility | | $20.95 | $41.81 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.11 / $23.41 / $51.00
| Professional | | $16.11 | $23.41 | $51.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.76 / $17.80 / $23.23
| Professional | | $16.76 | $17.80 | $23.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.71 / $555.00 / $74,999.25
| Facility | | $33.71 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.25 / $13.04 / $42.19
| Professional | | $12.25 | $13.04 | $42.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $14.86 / $25.50
| Professional | | $9.27 | $14.86 | $25.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.76 / $16.76 / $18.63
| Facility | | $16.76 | $16.76 | $18.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.76 / $16.76 / $17.80
| Professional | | $16.76 | $16.76 | $17.80 |