- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.35 / $37.72 / $101.79
| Facility | | $15.35 | $37.72 | $101.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $10.78 / $20.68
| Professional | | $8.94 | $10.78 | $20.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.04 / $60.00 / $60.00
| Facility | | $21.04 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $7.25 / $21.16
| Professional | | $4.84 | $7.25 | $21.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.79 / $29.94 / $49.48
| Facility | | $19.79 | $29.94 | $49.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.36 / $11.36 / $11.97
| Professional | | $11.36 | $11.36 | $11.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.94 / $8.44 / $27.51
| Facility | | $7.94 | $8.44 | $27.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.77 / $14.87 / $22.35
| Professional | | $6.77 | $14.87 | $22.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.97 / $3,472.00 / $9,239.00
| Facility | | $39.97 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.09 / $15.96 / $34.58
| Professional | | $12.09 | $15.96 | $34.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.31 / $72.00 / $112.06
| Facility | | $13.31 | $72.00 | $112.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.04 / $60.00 / $60.00
| Facility | | $21.04 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.84 / $7.25 / $21.16
| Professional | | $4.84 | $7.25 | $21.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $10.66 / $13.08
| Professional | | $8.93 | $10.66 | $13.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.88 / $12.09 / $14.51
| Facility | | $10.88 | $12.09 | $14.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.08 / $7.25 / $18.14
| Professional | | $5.08 | $7.25 | $18.14 |