- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $45.94 / $105.11
| Facility | | $10.75 | $45.94 | $105.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $9.38 / $40.84
| Professional | | $6.77 | $9.38 | $40.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.15 / $24.55 / $293.00
| Facility | | $11.15 | $24.55 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $8.02 / $23.62
| Professional | | $5.03 | $8.02 | $23.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.37 / $71.20 / $132.34
| Facility | | $26.37 | $71.20 | $132.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $9.02 / $48.86
| Professional | | $6.31 | $9.02 | $48.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.05 / $13.37 / $34.09
| Facility | | $7.05 | $13.37 | $34.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $12.39 / $18.07
| Professional | | $6.58 | $12.39 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $10.18 / $16.29
| Professional | | $6.12 | $10.18 | $16.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $10.18 / $22.19
| Professional | | $8.14 | $10.18 | $22.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $96.90 / $102.67 / $116.00
| Facility | | $96.90 | $102.67 | $116.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.09 / $5.09 / $5.09
| Professional | | $5.09 | $5.09 | $5.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.44 / $12.22 / $36.56
| Facility | | $8.44 | $12.22 | $36.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.72 / $10.18 / $20.36
| Professional | | $6.72 | $10.18 | $20.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $35.72 / $35.72 / $35.72
| Professional | | $35.72 | $35.72 | $35.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.14 / $9.16 / $12.29
| Professional | | $8.14 | $9.16 | $12.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.28 / $6.06 / $19.55
| Professional | | $4.28 | $6.06 | $19.55 |