- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $49.56 / $125.37
| Facility | | $10.19 | $49.56 | $125.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.60 / $10.81 / $21.78
| Professional | | $9.60 | $10.81 | $21.78 |
- 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
- $60.55 / $78.63 / $8,639.91
| Facility | | $60.55 | $78.63 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $9.36 / $9.36
| Professional | | $9.36 | $9.36 | $9.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.89 / $15.98 / $40.20
| Facility | | $7.89 | $15.98 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $21.16
| Professional | | $7.46 | $13.63 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.52 / $9.60 / $16.25
| Professional | | $5.52 | $9.60 | $16.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.94 / $33.60 / $69.43
| Facility | | $18.94 | $33.60 | $69.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.20 / $7.20 / $11.50
| Professional | | $7.20 | $7.20 | $11.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.36 / $36.00 / $125.37
| Facility | | $12.36 | $36.00 | $125.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $10.81 / $41.41
| Professional | | $9.00 | $10.81 | $41.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.02 / $18.25 / $40.20
| Facility | | $8.02 | $18.25 | $40.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.46 / $13.63 / $21.16
| Professional | | $7.46 | $13.63 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.00 / $12.00 / $12.00
| Facility | | $12.00 | $12.00 | $12.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $12.00 / $17.09
| Professional | | $10.56 | $12.00 | $17.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.36 / $21.96
| Professional | | $5.25 | $7.36 | $21.96 |