- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.13 / $44.66 / $156.38
| Facility | | $10.13 | $44.66 | $156.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.02 / $11.65 / $16.07
| Professional | | $8.02 | $11.65 | $16.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $9.30 / $13.39
| Professional | | $6.43 | $9.30 | $13.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.93 / $42.98 / $80.20
| Facility | | $15.93 | $42.98 | $80.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $7.10 / $12.85
| Professional | | $5.00 | $7.10 | $12.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $61.57 / $61.57 / $93.89
| Facility | | $61.57 | $61.57 | $93.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $13.19 / $20.46
| Professional | | $9.36 | $13.19 | $20.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.39 / $14.06 / $14.06
| Facility | | $13.39 | $14.06 | $14.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.35 / $29.41 / $67.43
| Facility | | $9.35 | $29.41 | $67.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $9.75 / $22.43
| Professional | | $7.10 | $9.75 | $22.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.88 / $92.81 / $100.00
| Facility | | $73.88 | $92.81 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.71 / $13.39 / $18.00
| Facility | | $10.71 | $13.39 | $18.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $13.39 / $17.45
| Professional | | $12.53 | $13.39 | $17.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.71 / $13.39 / $33.39
| Facility | | $10.71 | $13.39 | $33.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $10.30 / $19.36
| Professional | | $7.10 | $10.30 | $19.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $7.86 / $11.55
| Professional | | $5.62 | $7.86 | $11.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.22 / $6.61 / $13.39
| Professional | | $5.22 | $6.61 | $13.39 |