- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.44 / $74.58 / $170.61
| Facility | | $17.44 | $74.58 | $170.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.26 / $19.30 / $106.22
| Professional | | $12.26 | $19.30 | $106.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.10 / $39.85 / $293.00
| Facility | | $18.10 | $39.85 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.16 / $13.02 / $38.33
| Professional | | $8.16 | $13.02 | $38.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $42.79 / $86.00 / $212.43
| Facility | | $42.79 | $86.00 | $212.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.24 / $14.63 / $57.10
| Professional | | $10.24 | $14.63 | $57.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.44 / $21.69 / $55.31
| Facility | | $11.44 | $21.69 | $55.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $20.09 / $29.51
| Professional | | $10.82 | $20.09 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.68 / $16.52 / $26.43
| Professional | | $14.68 | $16.52 | $26.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $16.52 / $36.01
| Professional | | $13.22 | $16.52 | $36.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.00 / $89.71 / $100.00
| Facility | | $86.00 | $89.71 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.26 / $8.26 / $8.26
| Professional | | $8.26 | $8.26 | $8.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.70 / $19.76 / $53.55
| Facility | | $13.70 | $19.76 | $53.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.90 / $16.52 / $33.04
| Professional | | $10.90 | $16.52 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $57.98 / $57.98 / $57.98
| Professional | | $57.98 | $57.98 | $57.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.22 / $16.52 / $23.13
| Professional | | $13.22 | $16.52 | $23.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.94 / $9.83 / $34.04
| Professional | | $6.94 | $9.83 | $34.04 |