- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $32.34 / $206.28
| Facility | | $12.35 | $32.34 | $206.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.15 / $12.42 / $19.61
| Professional | | $9.15 | $12.42 | $19.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.26 / $53.92 / $97.71
| Facility | | $20.26 | $53.92 | $97.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.66 / $14.54
| Professional | | $5.00 | $8.66 | $14.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.97 / $26.14 / $96.72
| Facility | | $17.97 | $26.14 | $96.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.44 / $16.32 / $25.48
| Professional | | $11.44 | $16.32 | $25.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.34 / $16.34 / $18.82
| Facility | | $16.34 | $16.34 | $18.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $35.90 / $81.96
| Facility | | $11.41 | $35.90 | $81.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $11.91 / $27.35
| Professional | | $8.66 | $11.91 | $27.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.90 / $102.67 / $129.00
| Facility | | $96.90 | $102.67 | $129.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.07 / $16.34 / $21.24
| Facility | | $13.07 | $16.34 | $21.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.59 / $16.34 / $20.87
| Professional | | $15.59 | $16.34 | $20.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $107.25 / $138.74 / $326.27
| Facility | | $107.25 | $138.74 | $326.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.07 / $16.34 / $45.11
| Facility | | $13.07 | $16.34 | $45.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.66 / $12.58 / $23.14
| Professional | | $8.66 | $12.58 | $23.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.86 / $9.35 / $13.89
| Professional | | $6.86 | $9.35 | $13.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.37 / $8.07 / $16.34
| Professional | | $6.37 | $8.07 | $16.34 |