- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.84 / $97.88 / $286.43
| Facility | | $13.84 | $97.88 | $286.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.77 / $13.85
| Professional | | $6.46 | $8.77 | $13.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $6.92 / $6.92
| Professional | | $6.92 | $6.92 | $6.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.92 / $36.24 / $64.73
| Facility | | $12.92 | $36.24 | $64.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.12 / $11.31
| Professional | | $5.00 | $6.12 | $11.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $17.30 / $66.52
| Facility | | $10.96 | $17.30 | $66.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.54 / $11.54 / $11.54
| Facility | | $11.54 | $11.54 | $11.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.13 / $22.95 / $51.55
| Facility | | $8.13 | $22.95 | $51.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $7.91 / $17.55
| Professional | | $6.12 | $7.91 | $17.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $100.00
| Facility | | $50.00 | $60.00 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $11.54 / $15.36
| Facility | | $8.77 | $11.54 | $15.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.39 / $11.54 / $12.62
| Professional | | $10.39 | $11.54 | $12.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $665.00 / $783.00 / $947.00
| Facility | | $665.00 | $783.00 | $947.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.77 / $11.54 / $26.44
| Facility | | $8.77 | $11.54 | $26.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.12 / $8.53 / $14.60
| Professional | | $6.12 | $8.53 | $14.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.92 / $8.33 / $11.54
| Professional | | $6.92 | $8.33 | $11.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.50 / $5.03 / $11.54
| Professional | | $4.50 | $5.03 | $11.54 |