- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.14 / $77.63 / $177.60
| Facility | | $18.14 | $77.63 | $177.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $16.38 / $68.94
| Professional | | $12.03 | $16.38 | $68.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.84 / $41.46 / $293.00
| Facility | | $18.84 | $41.46 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $13.55 / $39.88
| Professional | | $8.49 | $13.55 | $39.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.52 / $87.20 / $220.98
| Facility | | $44.52 | $87.20 | $220.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.65 / $15.22 / $59.43
| Professional | | $10.65 | $15.22 | $59.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $22.56 / $57.53
| Facility | | $11.90 | $22.56 | $57.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.25 / $20.73 / $30.72
| Professional | | $11.25 | $20.73 | $30.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.28 / $17.19 / $27.50
| Professional | | $15.28 | $17.19 | $27.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.75 / $17.19 / $37.82
| Professional | | $13.75 | $17.19 | $37.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $79.00 / $86.00 / $217.00
| Facility | | $79.00 | $86.00 | $217.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.31 / $10.31 / $10.31
| Professional | | $10.31 | $10.31 | $10.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.26 / $20.63 / $55.00
| Facility | | $14.26 | $20.63 | $55.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $17.19 / $34.38
| Professional | | $11.36 | $17.19 | $34.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $60.33 / $60.33 / $60.33
| Professional | | $60.33 | $60.33 | $60.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.75 / $17.19 / $24.07
| Professional | | $13.75 | $17.19 | $24.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.22 / $10.31 / $33.02
| Professional | | $7.22 | $10.31 | $33.02 |