- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.96 / $42.30 / $71.00
| Facility | | $17.96 | $42.30 | $71.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $16.57 / $32.50
| Professional | | $13.41 | $16.57 | $32.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.17 / $22.17 / $57.64
| Facility | | $22.17 | $22.17 | $57.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $11.48 / $41.80
| Professional | | $8.63 | $11.48 | $41.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.30 / $22.17 / $22.17
| Facility | | $13.30 | $22.17 | $22.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.18 / $22.17 / $22.17
| Professional | | $16.18 | $22.17 | $22.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.50 / $45.22 / $185.69
| Facility | | $15.50 | $45.22 | $185.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $22.28 / $115.68
| Professional | | $13.45 | $22.28 | $115.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.10 / $28.82 / $332.00
| Facility | | $13.10 | $28.82 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $13.30 / $40.57
| Professional | | $8.86 | $13.30 | $40.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $21.06 / $24.90
| Professional | | $16.30 | $21.06 | $24.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.46 / $45.00 / $190.40
| Facility | | $17.46 | $45.00 | $190.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.32 / $54.48 / $243.46
| Facility | | $20.32 | $54.48 | $243.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $18.42 / $39.60
| Professional | | $12.53 | $18.42 | $39.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.31 / $12.60 / $32.56
| Professional | | $9.31 | $12.60 | $32.56 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.50 / $25.50 / $66.50
| Facility | | $25.50 | $25.50 | $66.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.30 / $21.45 / $26.65
| Professional | | $16.30 | $21.45 | $26.65 |