- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.61 / $75.31 / $162.47
| Facility | | $16.61 | $75.31 | $162.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $14.27 / $40.92
| Professional | | $9.11 | $14.27 | $40.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.25 / $37.96 / $293.00
| Facility | | $17.25 | $37.96 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $12.40 / $32.26
| Professional | | $7.77 | $12.40 | $32.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.77 / $85.50 / $202.31
| Facility | | $40.77 | $85.50 | $202.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.76 / $13.94 / $66.26
| Professional | | $9.76 | $13.94 | $66.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.89 / $20.66 / $52.68
| Facility | | $10.89 | $20.66 | $52.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $19.00 / $27.71
| Professional | | $10.19 | $19.00 | $27.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.99 / $15.74 / $25.18
| Professional | | $13.99 | $15.74 | $25.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $15.74 / $34.31
| Professional | | $12.59 | $15.74 | $34.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $75.48 / $100.00
| Facility | | $55.00 | $75.48 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $7.87 / $7.87
| Professional | | $7.87 | $7.87 | $7.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.06 / $18.21 / $45.14
| Facility | | $13.06 | $18.21 | $45.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.43 / $15.74 / $31.48
| Professional | | $10.43 | $15.74 | $31.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $55.24 / $55.24 / $55.24
| Professional | | $55.24 | $55.24 | $55.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $15.74 / $22.04
| Professional | | $12.59 | $15.74 | $22.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $9.44 / $30.24
| Professional | | $6.61 | $9.44 | $30.24 |