- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.34 / $26.72 / $42.47
| Facility | | $20.34 | $26.72 | $42.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.93 / $24.36 / $77.00
| Professional | | $15.93 | $24.36 | $77.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $13.74 / $51.49
| Professional | | $10.83 | $13.74 | $51.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.88 / $27.83 / $27.83
| Facility | | $25.88 | $27.83 | $27.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.83 / $27.83 / $27.83
| Professional | | $27.83 | $27.83 | $27.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.88 / $38.88 / $38.88
| Facility | | $38.88 | $38.88 | $38.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $13.54 / $13.54
| Professional | | $13.54 | $13.54 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.18 / $60.72 / $332.00
| Facility | | $33.18 | $60.72 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.84 / $44.93 / $72.00
| Professional | | $34.84 | $44.93 | $72.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.24 / $32.24 / $32.24
| Facility | | $32.24 | $32.24 | $32.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.83 / $34.26 / $34.26
| Professional | | $27.83 | $34.26 | $34.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.88 / $38.88 / $597.00
| Facility | | $38.88 | $38.88 | $597.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $13.54 / $56.81
| Professional | | $9.00 | $13.54 | $56.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.03 / $19.91 / $36.63
| Professional | | $11.03 | $19.91 | $36.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.24 / $32.24 / $34.83
| Facility | | $32.24 | $32.24 | $34.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.24 / $32.24 / $34.26
| Professional | | $32.24 | $32.24 | $34.26 |