- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.22 / $88.40 / $186.75
| Facility | | $18.22 | $88.40 | $186.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.15 / $11.15 / $14.75
| Professional | | $9.15 | $11.15 | $14.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.50 / $29.72 / $293.00
| Facility | | $13.50 | $29.72 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.08 / $9.71 / $28.70
| Professional | | $6.08 | $9.71 | $28.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.91 / $78.01 / $160.15
| Facility | | $31.91 | $78.01 | $160.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $10.91 / $59.14
| Professional | | $7.64 | $10.91 | $59.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.52 / $16.18 / $41.25
| Facility | | $8.52 | $16.18 | $41.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $14.87 / $21.68
| Professional | | $8.06 | $14.87 | $21.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.95 / $12.32 / $19.71
| Professional | | $10.95 | $12.32 | $19.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $12.32 / $28.34
| Professional | | $9.86 | $12.32 | $28.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $7.39 / $7.39
| Professional | | $7.39 | $7.39 | $7.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $14.40 / $37.33
| Facility | | $10.19 | $14.40 | $37.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.32 / $24.64
| Professional | | $8.11 | $12.32 | $24.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.24 / $43.24 / $43.24
| Professional | | $43.24 | $43.24 | $43.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $12.32 / $17.25
| Professional | | $9.86 | $12.32 | $17.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.17 / $7.33 / $23.84
| Professional | | $5.17 | $7.33 | $23.84 |