- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.82 / $69.14 / $163.11
| Facility | | $17.82 | $69.14 | $163.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.38 / $9.65 / $11.19
| Professional | | $8.38 | $9.65 | $11.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $18.69 / $60.00
| Facility | | $9.80 | $18.69 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.44 / $10.74 / $26.16
| Professional | | $6.44 | $10.74 | $26.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.03 / $30.30 / $52.98
| Facility | | $19.03 | $30.30 | $52.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $10.10 / $13.38
| Professional | | $10.10 | $10.10 | $13.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.51 / $15.97 / $36.67
| Facility | | $7.51 | $15.97 | $36.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.45 / $11.56 / $18.07
| Professional | | $6.45 | $11.56 | $18.07 |
- 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
- $15.41 / $15.41 / $18.13
| Professional | | $15.41 | $15.41 | $18.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $14.89 / $39.97
| Professional | | $10.74 | $14.89 | $39.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.56 / $13.68 / $147.60
| Facility | | $11.56 | $13.68 | $147.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.69 / $60.00 / $60.00
| Facility | | $18.69 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.16 / $7.20 / $22.08
| Professional | | $5.16 | $7.20 | $22.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.42 / $12.83 / $23.88
| Facility | | $10.42 | $12.83 | $23.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $10.79 / $13.23
| Professional | | $9.47 | $10.79 | $13.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.32 / $8.77 / $26.72
| Professional | | $5.32 | $8.77 | $26.72 |