- 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
- $9.43 / $12.72 / $24.10
| Professional | | $9.43 | $12.72 | $24.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.54 / $34.20 / $293.00
| Facility | | $15.54 | $34.20 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $10.92 / $32.15
| Professional | | $6.85 | $10.92 | $32.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.72 / $84.60 / $178.20
| Facility | | $36.72 | $84.60 | $178.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.60 / $12.28 / $68.06
| Professional | | $8.60 | $12.28 | $68.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $18.62 / $47.48
| Facility | | $9.60 | $18.62 | $47.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $16.89 / $25.30
| Professional | | $9.11 | $16.89 | $25.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.33 / $14.18 / $22.69
| Professional | | $12.33 | $14.18 | $22.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $14.18 / $31.20
| Professional | | $11.34 | $14.18 | $31.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.70 / $70.00 / $70.00
| Facility | | $43.70 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $7.09 / $7.09
| Professional | | $7.09 | $7.09 | $7.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.47 / $16.19 / $39.00
| Facility | | $11.47 | $16.19 | $39.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $14.18 / $28.36
| Professional | | $9.51 | $14.18 | $28.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.77 / $49.77 / $49.77
| Professional | | $49.77 | $49.77 | $49.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.34 / $14.18 / $19.85
| Professional | | $11.34 | $14.18 | $19.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.96 / $8.24 / $26.80
| Professional | | $5.96 | $8.24 | $26.80 |