- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.92 / $73.08 / $185.11
| Facility | | $18.92 | $73.08 | $185.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $16.12 / $52.39
| Professional | | $10.67 | $16.12 | $52.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.08 / $48.60 / $293.00
| Facility | | $22.08 | $48.60 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.13 / $15.82 / $30.22
| Professional | | $9.13 | $15.82 | $30.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.31 / $87.40 / $232.12
| Facility | | $45.31 | $87.40 | $232.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.46 / $16.37 / $80.09
| Professional | | $11.46 | $16.37 | $80.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $26.46 / $67.47
| Facility | | $13.10 | $26.46 | $67.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.10 / $23.13 / $30.46
| Professional | | $12.10 | $23.13 | $30.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.44 / $20.14 / $32.24
| Professional | | $16.44 | $20.14 | $32.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $20.14 / $43.93
| Professional | | $16.12 | $20.14 | $43.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $95.71 / $95.71
| Facility | | $50.00 | $95.71 | $95.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.09 / $12.09 / $12.09
| Professional | | $12.09 | $12.09 | $12.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.11 / $20.14 / $50.38
| Facility | | $14.11 | $20.14 | $50.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.82 / $20.14 / $27.75
| Professional | | $12.82 | $20.14 | $27.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.72 / $70.72 / $70.72
| Professional | | $70.72 | $70.72 | $70.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.12 / $18.14 / $23.02
| Professional | | $16.12 | $18.14 | $23.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.46 / $10.60 / $33.97
| Professional | | $8.46 | $10.60 | $33.97 |