- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.52 / $71.30 / $145.69
| Facility | | $19.52 | $71.30 | $145.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $10.76 / $13.94
| Professional | | $9.88 | $10.76 | $13.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $25.22 / $60.00
| Facility | | $10.99 | $25.22 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.23 / $12.05 / $29.35
| Professional | | $7.23 | $12.05 | $29.35 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.33 / $11.33 / $15.42
| Professional | | $11.33 | $11.33 | $15.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.42 / $17.89 / $41.18
| Facility | | $8.42 | $17.89 | $41.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $13.33 / $20.34
| Professional | | $7.29 | $13.33 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.05 / $16.70 / $44.86
| Professional | | $12.05 | $16.70 | $44.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.31 / $15.77 / $89.51
| Facility | | $13.31 | $15.77 | $89.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.22 / $60.00 / $60.00
| Facility | | $25.22 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.78 / $7.35 / $25.44
| Professional | | $5.78 | $7.35 | $25.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.69 / $14.41 / $26.80
| Facility | | $11.69 | $14.41 | $26.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.63 / $12.43 / $15.25
| Professional | | $10.63 | $12.43 | $15.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.42 / $7.35 / $22.97
| Professional | | $5.42 | $7.35 | $22.97 |