- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $38.02 / $64.57
| Facility | | $12.30 | $38.02 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.02 / $42.66
| Professional | | $9.33 | $12.02 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $75.86 / $100.00 / $5,011.87
| Facility | | $75.86 | $100.00 | $5,011.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.22 / $14.13
| Professional | | $11.22 | $11.22 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $21.88 / $48.98
| Facility | | $9.55 | $21.88 | $48.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $16.22 / $25.12
| Professional | | $8.91 | $16.22 | $25.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $9.12 / $20.89
| Professional | | $6.76 | $9.12 | $20.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $14.45 / $14.45
| Facility | | $14.45 | $14.45 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.13 / $15.85 / $25.12
| Professional | | $14.13 | $15.85 | $25.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $43.65 / $123.03
| Facility | | $22.39 | $43.65 | $123.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $8.71 / $14.13
| Professional | | $8.71 | $8.71 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $38.02 / $64.57
| Facility | | $13.49 | $38.02 | $64.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.88 / $52.48
| Professional | | $10.00 | $12.88 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $16.22 / $18.62
| Facility | | $10.72 | $16.22 | $18.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $14.79 / $18.62
| Professional | | $6.76 | $14.79 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $14.45 / $17.38
| Facility | | $9.55 | $14.45 | $17.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $9.33 / $25.12
| Professional | | $6.46 | $9.33 | $25.12 |