- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.05 / $78.48 / $186.44
| Facility | | $19.05 | $78.48 | $186.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.13 / $16.34 / $51.35
| Professional | | $13.13 | $16.34 | $51.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.64 / $47.64 / $293.00
| Facility | | $21.64 | $47.64 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.92 / $14.22 / $41.88
| Professional | | $8.92 | $14.22 | $41.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.10 / $87.40 / $232.12
| Facility | | $45.10 | $87.40 | $232.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.19 / $15.99 / $62.43
| Professional | | $11.19 | $15.99 | $62.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.84 / $25.94 / $66.13
| Facility | | $12.84 | $25.94 | $66.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $22.72 / $34.94
| Professional | | $11.88 | $22.72 | $34.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.05 / $19.75 / $31.60
| Professional | | $16.05 | $19.75 | $31.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.80 / $19.75 / $43.06
| Professional | | $15.80 | $19.75 | $43.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $59.33 / $93.81 / $251.00
| Facility | | $59.33 | $93.81 | $251.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.85 / $11.85 / $11.85
| Professional | | $11.85 | $11.85 | $11.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.96 / $22.08 / $51.62
| Facility | | $14.96 | $22.08 | $51.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $19.75 / $39.15
| Professional | | $13.22 | $19.75 | $39.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $69.31 / $69.31 / $69.31
| Professional | | $69.31 | $69.31 | $69.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.80 / $19.75 / $27.65
| Professional | | $15.80 | $19.75 | $27.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.30 / $10.74 / $35.11
| Professional | | $8.30 | $10.74 | $35.11 |