- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.29 / $53.58 / $102.80
| Facility | | $15.29 | $53.58 | $102.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.25 / $9.65 / $11.16
| Professional | | $8.25 | $9.65 | $11.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.18 / $25.22 / $60.00
| Facility | | $10.18 | $25.22 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $11.16 / $27.18
| Professional | | $6.70 | $11.16 | $27.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.55 / $31.13 / $54.43
| Facility | | $19.55 | $31.13 | $54.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.49 / $10.49 / $14.28
| Professional | | $10.49 | $10.49 | $14.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.79 / $16.57 / $38.15
| Facility | | $7.79 | $16.57 | $38.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.66 / $12.34 / $18.98
| Professional | | $6.66 | $12.34 | $18.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.32 / $16.32 / $19.22
| Professional | | $16.32 | $16.32 | $19.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.16 / $15.47 / $41.54
| Professional | | $11.16 | $15.47 | $41.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.14 / $14.54 / $59.67
| Facility | | $13.14 | $14.54 | $59.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.22 / $60.00 / $60.00
| Facility | | $25.22 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.36 / $7.35 / $23.57
| Professional | | $5.36 | $7.35 | $23.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.33 / $13.50 / $25.45
| Facility | | $10.33 | $13.50 | $25.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.84 / $11.50 / $14.10
| Professional | | $9.84 | $11.50 | $14.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.53 / $7.35 / $23.57
| Professional | | $5.53 | $7.35 | $23.57 |