- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.18 / $41.89 / $109.88
| Facility | | $14.18 | $41.89 | $109.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $10.13 / $20.62
| Professional | | $9.47 | $10.13 | $20.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.48 / $35.04 / $60.00
| Facility | | $13.48 | $35.04 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $11.53 / $28.08
| Professional | | $6.92 | $11.53 | $28.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.15 / $22.92 / $37.88
| Facility | | $15.15 | $22.92 | $37.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $10.84 / $11.41
| Professional | | $10.84 | $10.84 | $11.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.98 / $8.99 / $26.22
| Facility | | $7.98 | $8.99 | $26.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $14.04 / $21.74
| Professional | | $6.46 | $14.04 | $21.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.15 / $3,472.00 / $9,239.00
| Facility | | $38.15 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.80 / $16.80 / $19.78
| Professional | | $16.80 | $16.80 | $19.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.53 / $15.22 / $32.97
| Professional | | $11.53 | $15.22 | $32.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.36 / $62.93 / $154.97
| Facility | | $13.36 | $62.93 | $154.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.05 / $60.00 / $60.00
| Facility | | $20.05 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $6.92 / $20.18
| Professional | | $4.61 | $6.92 | $20.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.36 / $12.68 / $25.64
| Facility | | $9.36 | $12.68 | $25.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $10.17 / $12.48
| Professional | | $8.52 | $10.17 | $12.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.61 / $6.92 / $17.30
| Professional | | $4.61 | $6.92 | $17.30 |