- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.30 / $78.28 / $179.10
| Facility | | $18.30 | $78.28 | $179.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $15.74 / $67.14
| Professional | | $11.53 | $15.74 | $67.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.00 / $41.82 / $293.00
| Facility | | $19.00 | $41.82 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.56 / $13.66 / $40.67
| Professional | | $8.56 | $13.66 | $40.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.60 / $87.20 / $223.01
| Facility | | $44.60 | $87.20 | $223.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $15.35 / $59.98
| Professional | | $10.75 | $15.35 | $59.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $22.77 / $58.04
| Facility | | $12.00 | $22.77 | $58.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.25 / $21.05 / $30.72
| Professional | | $11.25 | $21.05 | $30.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.34 / $19.07 / $99.00
| Professional | | $17.34 | $19.07 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.87 / $17.34 / $38.68
| Professional | | $13.87 | $17.34 | $38.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.97 / $82.56 / $100.00
| Facility | | $56.97 | $82.56 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.67 / $8.67 / $8.67
| Professional | | $8.67 | $8.67 | $8.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.87 / $20.05 / $45.38
| Facility | | $13.87 | $20.05 | $45.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.59 / $17.34 / $34.68
| Professional | | $11.59 | $17.34 | $34.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.86 / $60.86 / $60.86
| Professional | | $60.86 | $60.86 | $60.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.28 / $10.40 / $34.45
| Professional | | $7.28 | $10.40 | $34.45 |