- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $131.76 / $424.33
| Facility | | $17.80 | $131.76 | $424.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $9.78 / $13.73
| Professional | | $6.71 | $9.78 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $8.24 / $8.58
| Professional | | $8.24 | $8.24 | $8.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.55 / $27.46 / $70.84
| Facility | | $7.55 | $27.46 | $70.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.55 / $10.98
| Professional | | $5.00 | $7.55 | $10.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $15.79 / $30.89
| Facility | | $13.73 | $15.79 | $30.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $13.73 / $13.73
| Facility | | $13.73 | $13.73 | $13.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.32 / $22.66 / $58.78
| Facility | | $9.32 | $22.66 | $58.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $9.53 / $21.16
| Professional | | $5.71 | $9.53 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $65.22 / $80.00 / $80.00
| Facility | | $65.22 | $80.00 | $80.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.00 / $13.73 / $17.85
| Facility | | $10.00 | $13.73 | $17.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.02 / $13.73 / $13.73
| Professional | | $11.02 | $13.73 | $13.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $193.35 / $278.06 / $1,566.29
| Facility | | $193.35 | $278.06 | $1,566.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $13.73 / $34.07
| Facility | | $9.61 | $13.73 | $34.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $10.01 / $17.17
| Professional | | $5.71 | $10.01 | $17.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $5.77 / $12.81
| Professional | | $4.84 | $5.77 | $12.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.49 / $5.49 / $13.73
| Professional | | $5.49 | $5.49 | $13.73 |