- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.47 / $50.11 / $165.22
| Facility | | $18.47 | $50.11 | $165.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $16.07 / $91.53
| Professional | | $12.64 | $16.07 | $91.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.78 / $43.54 / $293.00
| Facility | | $19.78 | $43.54 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $15.44 / $28.22
| Professional | | $8.91 | $15.44 | $28.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.60 / $87.40 / $226.60
| Facility | | $44.60 | $87.40 | $226.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $15.98 / $78.20
| Professional | | $11.19 | $15.98 | $78.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.24 / $23.69 / $60.41
| Facility | | $12.24 | $23.69 | $60.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $21.62 / $28.33
| Professional | | $11.88 | $21.62 | $28.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.04 / $18.05 / $28.88
| Professional | | $16.04 | $18.05 | $28.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $18.05 / $40.90
| Professional | | $14.44 | $18.05 | $40.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $85.74 / $85.74
| Facility | | $50.00 | $85.74 | $85.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $10.83 / $10.83
| Professional | | $10.83 | $10.83 | $10.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $18.30 / $45.13
| Facility | | $13.15 | $18.30 | $45.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $18.05 / $25.12
| Professional | | $12.06 | $18.05 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.35 / $63.35 / $63.35
| Professional | | $63.35 | $63.35 | $63.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $16.36 / $22.46
| Professional | | $14.44 | $16.36 | $22.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.58 / $10.34 / $32.79
| Professional | | $7.58 | $10.34 | $32.79 |