- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.27 / $73.64 / $118.74
| Facility | | $20.27 | $73.64 | $118.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.50 / $13.06 / $25.26
| Professional | | $7.50 | $13.06 | $25.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.54 / $10.47 / $10.47
| Professional | | $7.54 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.61 / $38.65 / $57.27
| Facility | | $32.61 | $38.65 | $57.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.39 / $23.76 / $23.76
| Professional | | $20.39 | $23.76 | $23.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.43 / $19.04 / $84.63
| Facility | | $10.43 | $19.04 | $84.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $21.68 / $41.00
| Professional | | $9.27 | $21.68 | $41.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $13.14 / $44.81
| Facility | | $13.14 | $13.14 | $44.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.54 / $9.05 / $26.33
| Professional | | $7.54 | $9.05 | $26.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.33 / $9.05 / $31.38
| Professional | | $6.33 | $9.05 | $31.38 |