- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.05 / $40.82 / $305.63
| Facility | | $12.05 | $40.82 | $305.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.09 / $10.50 / $21.58
| Professional | | $10.09 | $10.50 | $21.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $27.72 / $133.86
| Facility | | $10.99 | $27.72 | $133.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $12.05 / $27.02
| Professional | | $6.30 | $12.05 | $27.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.95 / $41.92 / $75.95
| Facility | | $15.95 | $41.92 | $75.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.14 / $11.33 / $11.93
| Professional | | $11.14 | $11.33 | $11.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $18.18 / $41.18
| Facility | | $8.42 | $18.18 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.27 / $20.07 / $51.31
| Professional | | $9.27 | $20.07 | $51.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.29 / $38.78 / $6,679.00
| Facility | | $12.29 | $38.78 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.26 / $19.43 / $41.18
| Professional | | $13.26 | $19.43 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $16.70 / $42.98
| Professional | | $12.05 | $16.70 | $42.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.34 / $39.13 / $279.42
| Facility | | $11.34 | $39.13 | $279.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.02 / $133.86 / $133.86
| Facility | | $45.02 | $133.86 | $133.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.23 / $20.21
| Professional | | $5.78 | $7.23 | $20.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.84 / $14.48 / $30.79
| Facility | | $9.84 | $14.48 | $30.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.90 / $10.63 / $13.04
| Professional | | $8.90 | $10.63 | $13.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $7.30 / $28.72
| Professional | | $5.97 | $7.30 | $28.72 |