- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.44 / $41.51 / $147.54
| Facility | | $11.44 | $41.51 | $147.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $13.61 / $21.43
| Professional | | $10.61 | $13.61 | $21.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.66 / $34.47 / $293.00
| Facility | | $15.66 | $34.47 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $11.25 / $30.99
| Professional | | $7.06 | $11.25 | $30.99 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.01 / $84.80 / $183.72
| Facility | | $37.01 | $84.80 | $183.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $12.65 / $68.59
| Professional | | $8.86 | $12.65 | $68.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.90 / $18.77 / $47.84
| Facility | | $9.90 | $18.77 | $47.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $17.22 / $25.30
| Professional | | $9.34 | $17.22 | $25.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.70 / $14.29 / $22.86
| Professional | | $12.70 | $14.29 | $22.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.43 / $14.29 / $31.44
| Professional | | $11.43 | $14.29 | $31.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.30 / $107.00 / $107.00
| Facility | | $49.30 | $107.00 | $107.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $8.57 / $8.57
| Professional | | $8.57 | $8.57 | $8.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $17.14 / $46.08
| Facility | | $11.82 | $17.14 | $46.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $14.29 / $28.58
| Professional | | $9.51 | $14.29 | $28.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.15 / $50.15 / $50.15
| Professional | | $50.15 | $50.15 | $50.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.43 / $14.29 / $20.01
| Professional | | $11.43 | $14.29 | $20.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $8.57 / $27.45
| Professional | | $6.00 | $8.57 | $27.45 |