- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.22 / $56.53 / $129.33
| Facility | | $13.22 | $56.53 | $129.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $13.22 / $80.50
| Professional | | $8.33 | $13.22 | $80.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.72 / $30.20 / $293.00
| Facility | | $13.72 | $30.20 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $9.86 / $29.15
| Professional | | $6.18 | $9.86 | $29.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.43 / $78.97 / $162.84
| Facility | | $32.43 | $78.97 | $162.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $11.09 / $60.10
| Professional | | $7.76 | $11.09 | $60.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.69 / $16.44 / $43.60
| Facility | | $8.69 | $16.44 | $43.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.27 / $15.28 / $22.29
| Professional | | $8.27 | $15.28 | $22.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.13 / $12.52 / $20.03
| Professional | | $11.13 | $12.52 | $20.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $12.52 / $27.29
| Professional | | $10.02 | $12.52 | $27.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.15 / $100.00
| Facility | | $50.00 | $60.15 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.26 / $6.26 / $6.26
| Professional | | $6.26 | $6.26 | $6.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.39 / $14.99 / $35.92
| Facility | | $9.39 | $14.99 | $35.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $12.52 / $25.04
| Professional | | $8.35 | $12.52 | $25.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.94 / $43.94 / $43.94
| Professional | | $43.94 | $43.94 | $43.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $12.52 / $17.53
| Professional | | $10.02 | $12.52 | $17.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.26 / $7.46 / $25.83
| Professional | | $5.26 | $7.46 | $25.83 |