- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $50.19 / $541.96
| Facility | | $14.34 | $50.19 | $541.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $15.07 / $30.00
| Professional | | $13.50 | $15.07 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $85.07 / $110.47 / $8,639.91
| Facility | | $85.07 | $110.47 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.16 / $13.16 / $13.16
| Professional | | $13.16 | $13.16 | $13.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.09 / $22.47 / $56.50
| Facility | | $11.09 | $22.47 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $13.50 / $22.84
| Professional | | $7.76 | $13.50 | $22.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.23 / $59.22 / $243.85
| Facility | | $22.23 | $59.22 | $243.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $13.06 / $16.00
| Professional | | $10.11 | $13.06 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.34 / $48.08 / $453.57
| Facility | | $14.34 | $48.08 | $453.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.15 / $15.10 / $69.67
| Professional | | $12.15 | $15.10 | $69.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.58 / $103.58 / $103.58
| Facility | | $103.58 | $103.58 | $103.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.30 / $25.62 / $56.50
| Facility | | $11.30 | $25.62 | $56.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.62
| Professional | | $10.56 | $19.41 | $29.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $16.87 / $16.87
| Facility | | $16.87 | $16.87 | $16.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.85 / $16.87 / $24.01
| Professional | | $14.85 | $16.87 | $24.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.80 / $29.56
| Professional | | $7.59 | $10.80 | $29.56 |