- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $25.12 / $57.54
| Facility | | $12.02 | $25.12 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $10.96 / $20.42
| Professional | | $7.08 | $10.96 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $14.13 / $37.15
| Facility | | $14.13 | $14.13 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.62 / $5.89 / $26.30
| Professional | | $5.62 | $5.89 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.51 / $14.13 / $14.13
| Facility | | $8.51 | $14.13 | $14.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $14.13 / $14.13
| Professional | | $10.23 | $14.13 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.72 / $30.90 / $112.20
| Facility | | $10.72 | $30.90 | $112.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.94 / $16.98 / $67.61
| Professional | | $7.94 | $16.98 | $67.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $5.50 / $14.13 / $38.90
| Facility | | $5.50 | $14.13 | $38.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $10.00 / $27.54
| Professional | | $6.61 | $10.00 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $11.75 / $11.75
| Facility | | $11.75 | $11.75 | $11.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.33 / $12.30 / $16.22
| Professional | | $9.33 | $12.30 | $16.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $25.70 / $50,118.72
| Facility | | $12.30 | $25.70 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.08 / $12.88 / $16.98
| Facility | | $7.08 | $12.88 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.89 / $8.32 / $21.38
| Professional | | $5.89 | $8.32 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $12.02 / $23.44
| Facility | | $11.75 | $12.02 | $23.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $13.80 / $29.51
| Professional | | $10.00 | $13.80 | $29.51 |