- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $72.91 / $196.78
| Facility | | $20.42 | $72.91 | $196.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.37 / $20.42 / $105.01
| Professional | | $14.37 | $20.42 | $105.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.20 / $46.67 / $293.00
| Facility | | $21.20 | $46.67 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.56 / $15.25 / $46.02
| Professional | | $9.56 | $15.25 | $46.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $45.10 / $87.40 / $246.43
| Facility | | $45.10 | $87.40 | $246.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $17.14 / $66.90
| Professional | | $12.00 | $17.14 | $66.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.40 / $25.41 / $64.79
| Facility | | $13.40 | $25.41 | $64.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.73 / $23.54 / $34.33
| Professional | | $12.73 | $23.54 | $34.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.20 / $19.35 / $30.96
| Professional | | $17.20 | $19.35 | $30.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.48 / $19.35 / $42.57
| Professional | | $15.48 | $19.35 | $42.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.42 / $91.98 / $100.00
| Facility | | $64.42 | $91.98 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.61 / $11.61 / $11.61
| Professional | | $11.61 | $11.61 | $11.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.05 / $22.39 / $53.58
| Facility | | $16.05 | $22.39 | $53.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.75 / $19.35 / $38.70
| Professional | | $12.75 | $19.35 | $38.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $67.91 / $67.91 / $67.91
| Professional | | $67.91 | $67.91 | $67.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.48 / $19.35 / $27.09
| Professional | | $15.48 | $19.35 | $27.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.13 / $11.61 / $37.17
| Professional | | $8.13 | $11.61 | $37.17 |