- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.76 / $51.47 / $134.52
| Facility | | $13.76 | $51.47 | $134.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $10.98 / $51.88
| Professional | | $7.28 | $10.98 | $51.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.04 / $33.11 / $293.00
| Facility | | $15.04 | $33.11 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.78 / $11.74 / $21.71
| Professional | | $6.78 | $11.74 | $21.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.19 / $81.80 / $172.32
| Facility | | $35.19 | $81.80 | $172.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $12.16 / $65.90
| Professional | | $8.51 | $12.16 | $65.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.31 / $18.02 / $45.94
| Facility | | $9.31 | $18.02 | $45.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $16.22 / $21.35
| Professional | | $8.91 | $16.22 | $21.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.21 / $13.73 / $21.97
| Professional | | $12.21 | $13.73 | $21.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $13.73 / $31.11
| Professional | | $10.98 | $13.73 | $31.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $65.22 / $65.22
| Facility | | $50.00 | $65.22 | $65.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $8.24 / $8.24
| Professional | | $8.24 | $8.24 | $8.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.61 / $13.92 / $34.33
| Facility | | $9.61 | $13.92 | $34.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $13.73 / $19.10
| Professional | | $9.03 | $13.73 | $19.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $48.19 / $48.19 / $48.19
| Professional | | $48.19 | $48.19 | $48.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $12.45 / $17.09
| Professional | | $10.98 | $12.45 | $17.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.77 / $7.87 / $30.32
| Professional | | $5.77 | $7.87 | $30.32 |