- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.17 / $95.02 / $239.49
| Facility | | $15.17 | $95.02 | $239.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.81 / $18.55
| Professional | | $8.11 | $11.81 | $18.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.11 / $13.54
| Professional | | $6.50 | $8.11 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $43.38 / $81.09
| Facility | | $15.84 | $43.38 | $81.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.18 / $12.19
| Professional | | $5.00 | $7.18 | $12.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.19 / $18.28 / $118.01
| Facility | | $12.19 | $18.28 | $118.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.48 / $13.00 / $20.30
| Professional | | $9.48 | $13.00 | $20.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $13.54 / $13.54
| Facility | | $13.54 | $13.54 | $13.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $29.74 / $68.75
| Facility | | $9.46 | $29.74 | $68.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $9.93 / $22.98
| Professional | | $7.18 | $9.93 | $22.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.27 / $71.55 / $71.55
| Facility | | $56.27 | $71.55 | $71.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $23.83
| Facility | | $10.83 | $13.54 | $23.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.19 / $13.54 / $18.79
| Professional | | $12.19 | $13.54 | $18.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.83 / $13.54 / $34.07
| Facility | | $10.83 | $13.54 | $34.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.18 / $10.42 / $19.41
| Professional | | $7.18 | $10.42 | $19.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.69 / $7.75 / $11.06
| Professional | | $5.69 | $7.75 | $11.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.28 / $6.69 / $13.54
| Professional | | $5.28 | $6.69 | $13.54 |