- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.85 / $59.20 / $135.43
| Facility | | $13.85 | $59.20 | $135.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.95 / $11.73 / $15.69
| Professional | | $6.95 | $11.73 | $15.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.38 / $31.65 / $293.00
| Facility | | $14.38 | $31.65 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.48 / $10.34 / $30.54
| Professional | | $6.48 | $10.34 | $30.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.97 / $81.20 / $168.64
| Facility | | $33.97 | $81.20 | $168.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.62 / $62.98
| Professional | | $8.13 | $11.62 | $62.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.09 / $17.23 / $43.93
| Facility | | $9.09 | $17.23 | $43.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $15.95 / $23.49
| Professional | | $8.49 | $15.95 | $23.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.66 / $13.12 / $20.99
| Professional | | $11.66 | $13.12 | $20.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $13.12 / $28.60
| Professional | | $10.50 | $13.12 | $28.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $72.00 / $77.34 / $111.00
| Facility | | $72.00 | $77.34 | $111.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.87 / $7.87 / $7.87
| Professional | | $7.87 | $7.87 | $7.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.88 / $15.74 / $37.51
| Facility | | $10.88 | $15.74 | $37.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $13.12 / $26.24
| Professional | | $8.81 | $13.12 | $26.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.05 / $46.05 / $46.05
| Professional | | $46.05 | $46.05 | $46.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.50 / $13.12 / $18.37
| Professional | | $10.50 | $13.12 | $18.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.51 / $7.80 / $25.20
| Professional | | $5.51 | $7.80 | $25.20 |