- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.84 / $62.63 / $145.24
| Facility | | $14.84 | $62.63 | $145.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $14.84 / $108.60
| Professional | | $10.69 | $14.84 | $108.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.51 / $40.74 / $293.00
| Facility | | $18.51 | $40.74 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $16.21 / $27.01
| Professional | | $7.11 | $16.21 | $27.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.75 / $87.40 / $186.22
| Facility | | $43.75 | $87.40 | $186.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $12.75 / $62.83
| Professional | | $8.93 | $12.75 | $62.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.80 / $23.78 / $56.55
| Facility | | $11.80 | $23.78 | $56.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.62 / $19.41 / $25.81
| Professional | | $10.62 | $19.41 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.51 / $16.89 / $27.02
| Professional | | $13.51 | $16.89 | $27.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.51 / $16.89 / $38.28
| Professional | | $13.51 | $16.89 | $38.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $80.23 / $80.23
| Facility | | $50.00 | $80.23 | $80.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.13 / $10.13 / $10.13
| Professional | | $10.13 | $10.13 | $10.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $16.89 / $41.94
| Facility | | $11.82 | $16.89 | $41.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.66 / $16.89 / $23.82
| Professional | | $10.66 | $16.89 | $23.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $59.28 / $59.28 / $59.28
| Professional | | $59.28 | $59.28 | $59.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.51 / $15.13 / $18.91
| Professional | | $13.51 | $15.13 | $18.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $8.31 / $32.45
| Professional | | $7.09 | $8.31 | $32.45 |