- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.63 / $62.56 / $143.12
| Facility | | $14.63 | $62.56 | $143.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.22 / $16.19 / $106.03
| Professional | | $10.22 | $16.19 | $106.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.07 / $39.77 / $293.00
| Facility | | $18.07 | $39.77 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $10.92 / $33.04
| Professional | | $6.85 | $10.92 | $33.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.27 / $84.60 / $178.20
| Facility | | $37.27 | $84.60 | $178.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $12.28 / $47.92
| Professional | | $8.60 | $12.28 | $47.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $21.65 / $53.98
| Facility | | $10.72 | $21.65 | $53.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $19.00 / $28.52
| Professional | | $9.76 | $19.00 | $28.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $16.48 / $26.38
| Professional | | $13.19 | $16.48 | $26.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $16.48 / $35.95
| Professional | | $13.19 | $16.48 | $35.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $81.00 / $86.70 / $90.00
| Facility | | $81.00 | $86.70 | $90.00 |
- 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
- $11.65 / $18.44 / $44.97
| Facility | | $11.65 | $18.44 | $44.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.26 / $16.48 / $30.03
| Professional | | $10.26 | $16.48 | $30.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.87 / $57.87 / $57.87
| Professional | | $57.87 | $57.87 | $57.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.19 / $16.48 / $23.09
| Professional | | $13.19 | $16.48 | $23.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.93 / $8.24 / $32.76
| Professional | | $6.93 | $8.24 | $32.76 |