- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.37 / $65.73 / $150.37
| Facility | | $15.37 | $65.73 | $150.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $13.40 / $58.38
| Professional | | $8.71 | $13.40 | $58.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.29 / $38.06 / $293.00
| Facility | | $17.29 | $38.06 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $11.47 / $34.79
| Professional | | $7.19 | $11.47 | $34.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.83 / $84.90 / $187.13
| Facility | | $38.83 | $84.90 | $187.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.02 / $12.90 / $61.29
| Professional | | $9.02 | $12.90 | $61.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.26 / $20.73 / $52.84
| Facility | | $10.26 | $20.73 | $52.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.73 / $18.17 / $24.26
| Professional | | $9.73 | $18.17 | $24.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.95 / $15.78 / $25.25
| Professional | | $12.95 | $15.78 | $25.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.62 / $15.78 / $34.72
| Professional | | $12.62 | $15.78 | $34.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $101.00 / $101.00
| Facility | | $55.00 | $101.00 | $101.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $9.47 / $9.47
| Professional | | $9.47 | $9.47 | $9.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.08 / $18.26 / $45.28
| Facility | | $12.08 | $18.26 | $45.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.73 / $15.78 / $31.56
| Professional | | $9.73 | $15.78 | $31.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.38 / $55.38 / $55.38
| Professional | | $55.38 | $55.38 | $55.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.62 / $14.20 / $18.13
| Professional | | $12.62 | $14.20 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.63 / $8.76 / $28.98
| Professional | | $6.63 | $8.76 | $28.98 |