- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.00 / $48.04 / $117.21
| Facility | | $11.00 | $48.04 | $117.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.64 / $12.18 / $81.98
| Professional | | $8.64 | $12.18 | $81.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.97 / $30.75 / $293.00
| Facility | | $13.97 | $30.75 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.74 / $9.16 / $23.76
| Professional | | $5.74 | $9.16 | $23.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.43 / $71.70 / $135.41
| Facility | | $28.43 | $71.70 | $135.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $10.30 / $61.20
| Professional | | $7.21 | $10.30 | $61.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $16.75 / $42.69
| Facility | | $8.28 | $16.75 | $42.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.64 / $14.46 / $22.89
| Professional | | $7.64 | $14.46 | $22.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.34 / $12.75 / $20.39
| Professional | | $10.34 | $12.75 | $20.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $12.75 / $28.44
| Professional | | $10.19 | $12.75 | $28.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $6.37 / $6.37
| Professional | | $6.37 | $6.37 | $6.37 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.93 / $14.26 / $36.65
| Facility | | $8.93 | $14.26 | $36.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $12.75 / $25.21
| Professional | | $8.52 | $12.75 | $25.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $44.75 / $44.75 / $44.75
| Professional | | $44.75 | $44.75 | $44.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $12.75 / $17.85
| Professional | | $10.19 | $12.75 | $17.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.00 / $22.63
| Professional | | $5.36 | $7.00 | $22.63 |