- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.89 / $49.30 / $153.09
| Facility | | $15.89 | $49.30 | $153.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.70 / $18.01 / $36.29
| Professional | | $10.70 | $18.01 | $36.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.75 / $36.88 / $293.00
| Facility | | $16.75 | $36.88 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $11.86 / $35.01
| Professional | | $7.44 | $11.86 | $35.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.60 / $85.17 / $193.48
| Facility | | $39.60 | $85.17 | $193.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $13.33 / $73.39
| Professional | | $9.33 | $13.33 | $73.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $20.07 / $51.19
| Facility | | $10.42 | $20.07 | $51.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $14.11 / $25.46
| Professional | | $9.76 | $14.11 | $25.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.38 / $15.29 / $24.46
| Professional | | $13.38 | $15.29 | $24.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $15.29 / $33.64
| Professional | | $12.23 | $15.29 | $33.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.63 / $80.00 / $80.00
| Facility | | $72.63 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $9.17 / $9.17
| Professional | | $9.17 | $9.17 | $9.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.70 / $16.82 / $38.77
| Facility | | $10.70 | $16.82 | $38.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.29 / $25.46
| Professional | | $10.19 | $15.29 | $25.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $53.66 / $53.66 / $53.66
| Professional | | $53.66 | $53.66 | $53.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $13.76 / $18.73
| Professional | | $12.23 | $13.76 | $18.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.17 / $12.62 / $31.01
| Professional | | $9.17 | $12.62 | $31.01 |