- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $74.09 / $597.87
| Facility | | $12.67 | $74.09 | $597.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $14.89 / $72.70
| Professional | | $9.34 | $14.89 | $72.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.00 / $11.58 / $16.67
| Professional | | $8.00 | $11.58 | $16.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.58 / $54.98 / $99.69
| Facility | | $20.58 | $54.98 | $99.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.84 / $14.84
| Professional | | $5.00 | $8.84 | $14.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.84 / $26.67 / $98.72
| Facility | | $15.84 | $26.67 | $98.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.50 / $15.99 / $25.01
| Professional | | $12.50 | $15.99 | $25.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.67 / $16.92 / $16.92
| Facility | | $16.67 | $16.92 | $16.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.65 / $36.64 / $84.63
| Facility | | $11.65 | $36.64 | $84.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.84 / $12.30 / $25.30
| Professional | | $8.84 | $12.30 | $25.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $108.68 / $138.18 / $138.18
| Facility | | $108.68 | $138.18 | $138.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.34 / $16.67 / $24.65
| Facility | | $13.34 | $16.67 | $24.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.00 / $16.67 / $21.73
| Professional | | $15.00 | $16.67 | $21.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.34 / $16.67 / $41.92
| Facility | | $13.34 | $16.67 | $41.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.84 / $12.96 / $24.09
| Professional | | $8.84 | $12.96 | $24.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $9.56 / $14.33
| Professional | | $7.00 | $9.56 | $14.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $8.23 / $16.67
| Professional | | $6.50 | $8.23 | $16.67 |