- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.18 / $60.66 / $138.79
| Facility | | $14.18 | $60.66 | $138.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $15.70 / $86.42
| Professional | | $9.97 | $15.70 | $86.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.73 / $32.42 / $293.00
| Facility | | $14.73 | $32.42 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.64 / $10.58 / $31.25
| Professional | | $6.64 | $10.58 | $31.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.81 / $81.84 / $172.68
| Facility | | $34.81 | $81.84 | $172.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.33 / $11.90 / $64.51
| Professional | | $8.33 | $11.90 | $64.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.30 / $17.64 / $45.01
| Facility | | $9.30 | $17.64 | $45.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $16.26 / $24.09
| Professional | | $8.69 | $16.26 | $24.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.94 / $13.44 / $21.50
| Professional | | $11.94 | $13.44 | $21.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $13.44 / $29.57
| Professional | | $10.75 | $13.44 | $29.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $85.00 / $100.00
| Facility | | $55.00 | $85.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $8.06 / $8.06
| Professional | | $8.06 | $8.06 | $8.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.14 / $15.70 / $40.00
| Facility | | $11.14 | $15.70 | $40.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $13.44 / $26.88
| Professional | | $9.03 | $13.44 | $26.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.17 / $47.17 / $47.17
| Professional | | $47.17 | $47.17 | $47.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.75 / $13.44 / $18.82
| Professional | | $10.75 | $13.44 | $18.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.64 / $8.06 / $25.82
| Professional | | $5.64 | $8.06 | $25.82 |