- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $40.03 / $91.58
| Facility | | $9.36 | $40.03 | $91.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $9.36 / $57.03
| Professional | | $6.59 | $9.36 | $57.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.72 / $21.39 / $293.00
| Facility | | $9.72 | $21.39 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.38 / $6.99 / $22.76
| Professional | | $4.38 | $6.99 | $22.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.97 / $67.59 / $115.32
| Facility | | $22.97 | $67.59 | $115.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.50 / $7.86 / $42.58
| Professional | | $5.50 | $7.86 | $42.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.14 / $11.66 / $30.90
| Facility | | $6.14 | $11.66 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.73 / $10.74 / $15.66
| Professional | | $5.73 | $10.74 | $15.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.89 / $8.86 / $14.19
| Professional | | $7.89 | $8.86 | $14.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $8.86 / $19.34
| Professional | | $7.10 | $8.86 | $19.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $75.00 / $75.00
| Facility | | $50.00 | $75.00 | $75.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $4.43 / $4.43
| Professional | | $4.43 | $4.43 | $4.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.37 / $10.64 / $25.46
| Facility | | $7.37 | $10.64 | $25.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.80 / $8.86 / $17.73
| Professional | | $5.80 | $8.86 | $17.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.13 / $31.13 / $31.13
| Professional | | $31.13 | $31.13 | $31.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $8.86 / $12.42
| Professional | | $7.10 | $8.86 | $12.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.73 / $5.32 / $17.64
| Professional | | $3.73 | $5.32 | $17.64 |