- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.73 / $48.03 / $294.39
| Facility | | $9.73 | $48.03 | $294.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.21 / $9.77 / $15.44
| Professional | | $7.21 | $9.77 | $15.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $6.18 / $7.72
| Professional | | $6.18 | $6.18 | $7.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.96 / $42.47 / $77.48
| Facility | | $15.96 | $42.47 | $77.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.82 / $11.45
| Professional | | $5.00 | $6.82 | $11.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.65 / $12.87 / $19.30
| Professional | | $9.65 | $12.87 | $19.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.87 / $12.87 / $14.83
| Facility | | $12.87 | $12.87 | $14.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.00 / $28.29 / $64.77
| Facility | | $9.00 | $28.29 | $64.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $9.39 / $21.88
| Professional | | $6.82 | $9.39 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $103.44 / $129.94 / $169.00
| Facility | | $103.44 | $129.94 | $169.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $12.87 / $16.73
| Facility | | $10.30 | $12.87 | $16.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $12.87 / $15.95
| Professional | | $12.23 | $12.87 | $15.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $12.87 / $32.09
| Facility | | $10.30 | $12.87 | $32.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $9.90 / $18.44
| Professional | | $6.82 | $9.90 | $18.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.56 / $12.87 / $15.44
| Facility | | $7.56 | $12.87 | $15.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.36 / $10.51
| Professional | | $5.41 | $7.36 | $10.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.01 / $6.36 / $12.87
| Professional | | $5.01 | $6.36 | $12.87 |