- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.88 / $20.97 / $21.47
| Facility | | $15.88 | $20.97 | $21.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.88 / $20.21 / $23.14
| Professional | | $15.88 | $20.21 | $23.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.06 / $19.09 / $43.83
| Professional | | $15.06 | $19.09 | $43.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $12.22 / $14.70
| Facility | | $12.22 | $12.22 | $14.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $14.70 / $26.92
| Professional | | $12.22 | $14.70 | $26.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $24.55 / $24.55
| Facility | | $24.55 | $24.55 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.64 / $19.64 / $19.64
| Professional | | $19.64 | $19.64 | $19.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.72 / $27.44 / $332.00
| Facility | | $14.72 | $27.44 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.57 / $31.82 / $49.35
| Professional | | $25.57 | $31.82 | $49.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $20.32 / $20.32
| Facility | | $20.32 | $20.32 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.76 / $30.09 / $37.24
| Professional | | $14.76 | $30.09 | $37.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $555.00 / $74,999.25
| Facility | | $24.55 | $555.00 | $74,999.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.73 / $19.64 / $41.92
| Professional | | $18.73 | $19.64 | $41.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.42 / $22.41 / $46.40
| Professional | | $17.42 | $22.41 | $46.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.89 / $22.46 / $22.46
| Facility | | $16.89 | $22.46 | $22.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.48 / $22.46 / $44.62
| Professional | | $16.48 | $22.46 | $44.62 |