- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.67 / $36.58 / $123.94
| Facility | | $12.67 | $36.58 | $123.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.24 / $10.89 / $21.78
| Professional | | $9.24 | $10.89 | $21.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.15 / $28.94 / $293.00
| Facility | | $13.15 | $28.94 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $9.46 / $27.94
| Professional | | $5.92 | $9.46 | $27.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.08 / $77.09 / $156.05
| Facility | | $31.08 | $77.09 | $156.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.44 / $10.63 / $57.60
| Professional | | $7.44 | $10.63 | $57.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.32 / $15.76 / $40.17
| Facility | | $8.32 | $15.76 | $40.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $14.46 / $21.08
| Professional | | $7.85 | $14.46 | $21.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $12.00 / $19.20
| Professional | | $10.67 | $12.00 | $19.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $12.00 / $26.40
| Professional | | $9.60 | $12.00 | $26.40 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $100.22 / $125.90 / $142.00
| Facility | | $100.22 | $125.90 | $142.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $7.20 / $7.20
| Professional | | $7.20 | $7.20 | $7.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.96 / $14.40 / $34.29
| Facility | | $9.96 | $14.40 | $34.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.88 / $12.00 / $24.00
| Professional | | $7.88 | $12.00 | $24.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $42.12 / $42.12 / $42.12
| Professional | | $42.12 | $42.12 | $42.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $12.00 / $16.80
| Professional | | $9.60 | $12.00 | $16.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.04 / $7.14 / $23.22
| Professional | | $5.04 | $7.14 | $23.22 |