- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $74.54 / $186.44
| Facility | | $19.05 | $74.54 | $186.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.64 / $16.34 / $46.96
| Professional | | $12.64 | $16.34 | $46.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.79 / $43.56 / $293.00
| Facility | | $19.79 | $43.56 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $14.22 / $26.76
| Professional | | $8.92 | $14.22 | $26.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.10 / $87.40 / $232.12
| Facility | | $45.10 | $87.40 | $232.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $15.99 / $62.43
| Professional | | $11.19 | $15.99 | $62.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.50 / $23.71 / $60.46
| Facility | | $12.50 | $23.71 | $60.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $21.89 / $31.92
| Professional | | $11.88 | $21.89 | $31.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $18.05 / $28.90
| Professional | | $9.32 | $18.05 | $28.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.45 / $18.05 / $39.72
| Professional | | $14.45 | $18.05 | $39.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.33 / $86.10 / $135.00
| Facility | | $59.33 | $86.10 | $135.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.83 / $10.83 / $10.83
| Professional | | $10.83 | $10.83 | $10.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $20.25 / $45.15
| Facility | | $14.96 | $20.25 | $45.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.06 / $18.05 / $36.11
| Professional | | $12.06 | $18.05 | $36.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $63.39 / $63.39 / $63.39
| Professional | | $63.39 | $63.39 | $63.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $14.45 / $16.25
| Professional | | $9.51 | $14.45 | $16.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.74 / $36.08
| Professional | | $7.59 | $10.74 | $36.08 |