- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.16 / $23.63 / $43.17
| Facility | | $12.16 | $23.63 | $43.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $12.17 / $14.32
| Professional | | $10.63 | $12.17 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $14.32 / $37.22
| Facility | | $14.32 | $14.32 | $37.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $8.66 / $32.32
| Professional | | $6.77 | $8.66 | $32.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.59 / $14.32 / $14.32
| Facility | | $8.59 | $14.32 | $14.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.45 / $14.32 / $14.32
| Professional | | $10.45 | $14.32 | $14.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.01 / $28.98 / $146.72
| Facility | | $10.01 | $28.98 | $146.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $16.07 / $91.81
| Professional | | $10.63 | $16.07 | $91.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.60 / $21.48 / $332.00
| Facility | | $12.60 | $21.48 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.54 / $8.59 / $26.21
| Professional | | $6.54 | $8.59 | $26.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.32 / $14.32 / $14.32
| Facility | | $14.32 | $14.32 | $14.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.62 / $14.32 / $18.47
| Professional | | $12.62 | $14.32 | $18.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.97 / $34.90 / $192.38
| Facility | | $13.97 | $34.90 | $192.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.47 / $19.68 / $33.29
| Professional | | $11.47 | $19.68 | $33.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.01 / $8.59 / $21.03
| Professional | | $6.01 | $8.59 | $21.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.47 / $16.47 / $52.75
| Facility | | $16.47 | $16.47 | $52.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.62 / $16.07 / $19.01
| Professional | | $12.62 | $16.07 | $19.01 |