- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.06 / $43.60 / $137.46
| Facility | | $14.06 | $43.60 | $137.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $13.14 / $51.52
| Professional | | $9.88 | $13.14 | $51.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.57 / $45.27 / $293.00
| Facility | | $20.57 | $45.27 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $11.01 / $34.15
| Professional | | $7.51 | $11.01 | $34.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.83 / $81.40 / $172.98
| Facility | | $36.83 | $81.40 | $172.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $11.78 / $46.52
| Professional | | $8.25 | $11.78 | $46.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.20 / $24.29 / $61.43
| Facility | | $12.20 | $24.29 | $61.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $21.48 / $28.40
| Professional | | $9.86 | $21.48 | $28.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.50 / $18.77 / $30.03
| Professional | | $14.50 | $18.77 | $30.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.02 / $18.77 / $41.87
| Professional | | $15.02 | $18.77 | $41.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $89.16 / $100.00
| Facility | | $55.00 | $89.16 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $11.26 / $11.26
| Professional | | $11.26 | $11.26 | $11.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.51 / $19.03 / $44.30
| Facility | | $12.51 | $19.03 | $44.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $17.21 / $28.96
| Professional | | $9.97 | $17.21 | $28.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $65.88 / $65.88 / $65.88
| Professional | | $65.88 | $65.88 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.02 / $18.77 / $26.28
| Professional | | $15.02 | $18.77 | $26.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.81 / $8.01 / $28.72
| Professional | | $7.81 | $8.01 | $28.72 |