- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.59 / $60.87 / $260.55
| Facility | | $11.59 | $60.87 | $260.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $6.74 / $8.46
| Professional | | $6.30 | $6.74 | $8.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.71 / $14.72 / $80.30
| Facility | | $7.71 | $14.72 | $80.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.05 / $8.46 / $20.61
| Professional | | $4.05 | $8.46 | $20.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.92 / $23.75 / $41.53
| Facility | | $14.92 | $23.75 | $41.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.38 / $10.59 / $10.59
| Professional | | $8.38 | $10.59 | $10.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.92 / $12.55 / $28.91
| Facility | | $5.92 | $12.55 | $28.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $9.50 / $14.46
| Professional | | $5.00 | $9.50 | $14.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.07 / $53.00 / $6,679.00
| Facility | | $10.07 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $11.15 / $14.27
| Professional | | $8.63 | $11.15 | $14.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.46 / $11.73 / $33.61
| Professional | | $8.46 | $11.73 | $33.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.34 / $11.18 / $56.82
| Facility | | $9.34 | $11.18 | $56.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.72 / $80.30 / $80.30
| Facility | | $14.72 | $80.30 | $80.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.08 / $17.87
| Professional | | $3.15 | $5.08 | $17.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.18 / $9.61 / $19.29
| Facility | | $8.18 | $9.61 | $19.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $9.15 / $12.69
| Professional | | $7.83 | $9.15 | $12.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.15 / $5.08 / $17.87
| Professional | | $3.15 | $5.08 | $17.87 |