- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.33 / $82.35 / $180.96
| Facility | | $23.33 | $82.35 | $180.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.61 / $14.85 / $30.34
| Professional | | $13.61 | $14.85 | $30.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.53 / $29.63 / $97.00
| Facility | | $15.53 | $29.63 | $97.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.17 / $17.03 / $41.48
| Professional | | $8.17 | $17.03 | $41.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.19 / $47.50 / $83.05
| Facility | | $26.19 | $47.50 | $83.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.01 / $16.01 / $17.88
| Professional | | $16.01 | $16.01 | $17.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.90 / $25.30 / $58.20
| Facility | | $11.90 | $25.30 | $58.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $15.89 / $28.93
| Professional | | $10.19 | $15.89 | $28.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.37 / $53.00 / $6,679.00
| Facility | | $17.37 | $53.00 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.37 / $22.44 / $29.10
| Professional | | $17.37 | $22.44 | $29.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.03 / $23.60 / $67.47
| Professional | | $17.03 | $23.60 | $67.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $21.82 / $118.08
| Facility | | $18.62 | $21.82 | $118.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.63 / $97.00 / $97.00
| Facility | | $29.63 | $97.00 | $97.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.22 / $30.17
| Professional | | $5.25 | $10.22 | $30.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.72 / $19.37 / $36.18
| Facility | | $14.72 | $19.37 | $36.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.59 / $16.19 / $18.43
| Professional | | $14.59 | $16.19 | $18.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $10.22 / $30.50
| Professional | | $5.25 | $10.22 | $30.50 |