- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $48.03 / $109.88
| Facility | | $11.23 | $48.03 | $109.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.63 / $11.23 / $57.71
| Professional | | $5.63 | $11.23 | $57.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $25.66 / $293.00
| Facility | | $11.66 | $25.66 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.38 / $23.41
| Professional | | $5.25 | $8.38 | $23.41 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.56 / $72.56 / $138.29
| Facility | | $27.56 | $72.56 | $138.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $9.42 / $51.07
| Professional | | $6.59 | $9.42 | $51.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.36 / $13.98 / $35.64
| Facility | | $7.36 | $13.98 | $35.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.96 / $12.80 / $18.67
| Professional | | $6.96 | $12.80 | $18.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.44 / $10.64 / $17.02
| Professional | | $9.44 | $10.64 | $17.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $10.64 / $23.73
| Professional | | $8.51 | $10.64 | $23.73 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.50 / $60.00 / $60.00
| Facility | | $29.50 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.38 / $6.38 / $6.38
| Professional | | $6.38 | $6.38 | $6.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $12.32 / $27.50
| Facility | | $8.51 | $12.32 | $27.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $10.64 / $21.28
| Professional | | $7.00 | $10.64 | $21.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.34 / $37.34 / $37.34
| Professional | | $37.34 | $37.34 | $37.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $10.64 / $14.90
| Professional | | $8.51 | $10.64 | $14.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.47 / $6.38 / $19.32
| Professional | | $4.47 | $6.38 | $19.32 |