- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $57.65 / $136.93
| Facility | | $14.00 | $57.65 | $136.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $12.03 / $24.06
| Professional | | $9.84 | $12.03 | $24.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.52 / $31.96 / $293.00
| Facility | | $14.52 | $31.96 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $10.44 / $26.83
| Professional | | $6.54 | $10.44 | $26.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.32 / $81.40 / $170.38
| Facility | | $34.32 | $81.40 | $170.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.22 / $11.74 / $63.60
| Professional | | $8.22 | $11.74 | $63.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $17.39 / $44.34
| Facility | | $9.18 | $17.39 | $44.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $15.95 / $21.45
| Professional | | $8.69 | $15.95 | $21.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.99 / $13.25 / $21.20
| Professional | | $10.99 | $13.25 | $21.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $13.25 / $28.89
| Professional | | $10.60 | $13.25 | $28.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.54 / $70.00 / $70.00
| Facility | | $32.54 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.95 / $7.95 / $7.95
| Professional | | $7.95 | $7.95 | $7.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $15.86 / $37.88
| Facility | | $11.00 | $15.86 | $37.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $13.25 / $26.50
| Professional | | $8.81 | $13.25 | $26.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.50 / $46.50 / $46.50
| Professional | | $46.50 | $46.50 | $46.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $11.93 / $15.39
| Professional | | $10.60 | $11.93 | $15.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.57 / $7.95 / $24.06
| Professional | | $5.57 | $7.95 | $24.06 |