- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.55 / $57.96 / $132.60
| Facility | | $13.55 | $57.96 | $132.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $14.38 / $85.39
| Professional | | $9.30 | $14.38 | $85.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.55 / $32.03 / $293.00
| Facility | | $14.55 | $32.03 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $14.17 / $25.90
| Professional | | $6.56 | $14.17 | $25.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.77 / $84.90 / $170.04
| Facility | | $37.77 | $84.90 | $170.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.23 / $11.76 / $63.74
| Professional | | $8.23 | $11.76 | $63.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.27 / $19.07 / $45.80
| Facility | | $9.27 | $19.07 | $45.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $15.83 / $20.94
| Professional | | $8.81 | $15.83 | $20.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.80 / $13.28 / $21.25
| Professional | | $11.80 | $13.28 | $21.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $13.28 / $29.62
| Professional | | $10.62 | $13.28 | $29.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $63.08 / $63.08
| Facility | | $50.00 | $63.08 | $63.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $7.97 / $7.97
| Professional | | $7.97 | $7.97 | $7.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $14.37 / $33.20
| Facility | | $11.02 | $14.37 | $33.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $13.28 / $20.94
| Professional | | $9.34 | $13.28 | $20.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.61 / $46.61 / $46.61
| Professional | | $46.61 | $46.61 | $46.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $12.04 / $16.52
| Professional | | $10.62 | $12.04 | $16.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $7.60 / $26.70
| Professional | | $5.58 | $7.60 | $26.70 |