- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $50.07 / $211.05
| Facility | | $10.24 | $50.07 | $211.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.52 / $10.24 / $10.74
| Professional | | $9.52 | $10.24 | $10.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.23 / $7.23
| Professional | | $7.23 | $7.23 | $7.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $41.62 / $54.04 / $8,639.91
| Facility | | $41.62 | $54.04 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.40 / $9.40 / $9.40
| Professional | | $9.40 | $9.40 | $9.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.92 / $15.12 / $35.99
| Facility | | $7.92 | $15.12 | $35.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $5.71 / $14.98
| Professional | | $5.71 | $5.71 | $14.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.11 / $16.32
| Professional | | $5.54 | $7.11 | $16.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.76 / $37.06 / $98.41
| Facility | | $15.76 | $37.06 | $98.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $7.84 / $8.44
| Professional | | $7.23 | $7.84 | $8.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.24 / $49.77 / $411.17
| Facility | | $10.24 | $49.77 | $411.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $10.34 / $49.77
| Professional | | $7.91 | $10.34 | $49.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.39 / $14.91 / $40.20
| Facility | | $8.39 | $14.91 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.71 / $13.63 / $17.04
| Professional | | $5.71 | $13.63 | $17.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $12.05 / $13.26
| Facility | | $12.05 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $12.05 / $13.26
| Professional | | $10.60 | $12.05 | $13.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.05 / $7.23 / $20.97
| Professional | | $5.05 | $7.23 | $20.97 |