- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.54 / $70.44 / $165.10
| Facility | | $15.54 | $70.44 | $165.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.93 / $15.54 / $40.04
| Professional | | $10.93 | $15.54 | $40.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.13 / $35.50 / $293.00
| Facility | | $16.13 | $35.50 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.27 / $11.59 / $31.91
| Professional | | $7.27 | $11.59 | $31.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.11 / $85.00 / $189.15
| Facility | | $38.11 | $85.00 | $189.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $13.03 / $70.66
| Professional | | $9.11 | $13.03 | $70.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.19 / $19.32 / $49.29
| Facility | | $10.19 | $19.32 | $49.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $17.76 / $25.90
| Professional | | $9.55 | $17.76 | $25.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.08 / $14.72 / $23.55
| Professional | | $13.08 | $14.72 | $23.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.78 / $14.72 / $32.09
| Professional | | $11.78 | $14.72 | $32.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $70.77 / $85.85
| Facility | | $58.00 | $70.77 | $85.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.83 / $8.83 / $8.83
| Professional | | $8.83 | $8.83 | $8.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.21 / $17.20 / $40.44
| Facility | | $12.21 | $17.20 | $40.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.74 / $14.72 / $29.44
| Professional | | $9.74 | $14.72 | $29.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $51.66 / $51.66 / $51.66
| Professional | | $51.66 | $51.66 | $51.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.78 / $14.72 / $20.61
| Professional | | $11.78 | $14.72 | $20.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $8.76 / $29.40
| Professional | | $6.18 | $8.76 | $29.40 |