- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $51.39 / $117.57
| Facility | | $12.02 | $51.39 | $117.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.12 / $13.30 / $87.51
| Professional | | $7.12 | $13.30 | $87.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.91 / $32.83 / $293.00
| Facility | | $14.91 | $32.83 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $8.97 / $29.21
| Professional | | $5.62 | $8.97 | $29.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $30.76 / $76.20 / $147.96
| Facility | | $30.76 | $76.20 | $147.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.06 / $10.08 / $65.33
| Professional | | $7.06 | $10.08 | $65.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.85 / $17.88 / $45.58
| Facility | | $8.85 | $17.88 | $45.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $15.69 / $23.49
| Professional | | $8.06 | $15.69 | $23.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.89 / $13.61 / $21.78
| Professional | | $10.89 | $13.61 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.89 / $13.61 / $29.67
| Professional | | $10.89 | $13.61 | $29.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $72.34 / $100.00
| Facility | | $55.00 | $72.34 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.16 / $8.16 / $8.16
| Professional | | $8.16 | $8.16 | $8.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.63 / $14.97 / $35.65
| Facility | | $9.63 | $14.97 | $35.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $13.61 / $24.67
| Professional | | $8.39 | $13.61 | $24.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.77 / $47.77 / $47.77
| Professional | | $47.77 | $47.77 | $47.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.89 / $13.61 / $19.05
| Professional | | $10.89 | $13.61 | $19.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $6.77 / $22.83
| Professional | | $5.72 | $6.77 | $22.83 |