- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.32 / $36.90 / $130.30
| Facility | | $10.32 | $36.90 | $130.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $11.61 / $21.07
| Professional | | $8.39 | $11.61 | $21.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $31.11 / $293.00
| Facility | | $14.13 | $31.11 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $10.16 / $33.08
| Professional | | $6.37 | $10.16 | $33.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.40 / $80.14 / $165.69
| Facility | | $33.40 | $80.14 | $165.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.99 / $11.41 / $61.92
| Professional | | $7.99 | $11.41 | $61.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.91 / $16.95 / $43.21
| Facility | | $8.91 | $16.95 | $43.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $15.45 / $21.35
| Professional | | $8.58 | $15.45 | $21.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.46 / $12.90 / $20.64
| Professional | | $11.46 | $12.90 | $20.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $12.90 / $28.38
| Professional | | $10.32 | $12.90 | $28.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $70.00 / $100.00
| Facility | | $50.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.74 / $7.74 / $7.74
| Professional | | $7.74 | $7.74 | $7.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.69 / $15.42 / $41.60
| Facility | | $10.69 | $15.42 | $41.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $12.90 / $25.80
| Professional | | $8.58 | $12.90 | $25.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.27 / $45.27 / $45.27
| Professional | | $45.27 | $45.27 | $45.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $12.90 / $18.05
| Professional | | $10.32 | $12.90 | $18.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.74 / $24.78
| Professional | | $5.42 | $7.74 | $24.78 |