- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.34 / $39.92 / $91.32
| Facility | | $9.34 | $39.92 | $91.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $10.33 / $49.58
| Professional | | $5.78 | $10.33 | $49.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $18.60 / $293.00
| Facility | | $8.44 | $18.60 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.80 / $6.97 / $20.51
| Professional | | $3.80 | $6.97 | $20.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.74 / $67.59 / $114.95
| Facility | | $21.74 | $67.59 | $114.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.48 / $7.83 / $37.01
| Professional | | $5.48 | $7.83 | $37.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.39 / $10.92 / $26.83
| Facility | | $5.39 | $10.92 | $26.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $9.50 / $14.78
| Professional | | $5.09 | $9.50 | $14.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $7.71 / $12.34
| Professional | | $6.84 | $7.71 | $12.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $7.71 / $16.80
| Professional | | $6.17 | $7.71 | $16.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.63 / $86.00 / $113.00
| Facility | | $77.63 | $86.00 | $113.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.85 / $3.85 / $3.85
| Professional | | $3.85 | $3.85 | $3.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.78 / $9.25 / $24.97
| Facility | | $5.78 | $9.25 | $24.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $7.71 / $15.42
| Professional | | $5.09 | $7.71 | $15.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $27.06 / $27.06 / $27.06
| Professional | | $27.06 | $27.06 | $27.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.17 / $7.71 / $10.79
| Professional | | $6.17 | $7.71 | $10.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.24 / $5.19 / $15.45
| Professional | | $3.24 | $5.19 | $15.45 |