- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.80 / $76.12 / $174.15
| Facility | | $17.80 | $76.12 | $174.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $15.26 / $20.18
| Professional | | $10.70 | $15.26 | $20.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.49 / $47.30 / $293.00
| Facility | | $21.49 | $47.30 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $13.29 / $40.20
| Professional | | $8.33 | $13.29 | $40.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.60 / $86.00 / $216.84
| Facility | | $44.60 | $86.00 | $216.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.45 / $14.93 / $58.32
| Professional | | $10.45 | $14.93 | $58.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.75 / $25.76 / $64.20
| Facility | | $12.75 | $25.76 | $64.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.46 / $22.72 / $34.67
| Professional | | $11.46 | $22.72 | $34.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $19.61 / $31.38
| Professional | | $15.69 | $19.61 | $31.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $19.61 / $43.74
| Professional | | $15.69 | $19.61 | $43.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $194.00 / $220.84 / $320.00
| Facility | | $194.00 | $220.84 | $320.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.76 / $11.76 / $11.76
| Professional | | $11.76 | $11.76 | $11.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.11 / $21.93 / $56.37
| Facility | | $14.11 | $21.93 | $56.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.38 / $19.61 / $36.47
| Professional | | $12.38 | $19.61 | $36.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $68.83 / $68.83 / $68.83
| Professional | | $68.83 | $68.83 | $68.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.69 / $19.61 / $27.45
| Professional | | $15.69 | $19.61 | $27.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $10.02 / $37.67
| Professional | | $8.24 | $10.02 | $37.67 |