- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $40.78 / $125.91
| Facility | | $13.15 | $40.78 | $125.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.25 / $13.15 / $43.08
| Professional | | $9.25 | $13.15 | $43.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.65 / $30.05 / $293.00
| Facility | | $13.65 | $30.05 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.15 / $9.81 / $31.95
| Professional | | $6.15 | $9.81 | $31.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.27 / $78.47 / $161.82
| Facility | | $32.27 | $78.47 | $161.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.72 / $11.03 / $59.81
| Professional | | $7.72 | $11.03 | $59.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.63 / $16.36 / $41.72
| Facility | | $8.63 | $16.36 | $41.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $14.99 / $22.29
| Professional | | $8.06 | $14.99 | $22.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.07 / $12.46 / $19.94
| Professional | | $11.07 | $12.46 | $19.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $12.46 / $27.16
| Professional | | $9.97 | $12.46 | $27.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $67.76 / $102.00 / $210.00
| Facility | | $67.76 | $102.00 | $210.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.47 / $7.47 / $7.47
| Professional | | $7.47 | $7.47 | $7.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $14.95 / $35.81
| Facility | | $10.33 | $14.95 | $35.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.35 / $12.46 / $24.92
| Professional | | $8.35 | $12.46 | $24.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.73 / $43.73 / $43.73
| Professional | | $43.73 | $43.73 | $43.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.97 / $12.46 / $17.44
| Professional | | $9.97 | $12.46 | $17.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.23 / $7.48 / $24.08
| Professional | | $5.23 | $7.48 | $24.08 |