- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $47.82 / $120.88
| Facility | | $9.80 | $47.82 | $120.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.09 / $11.80 / $54.00
| Professional | | $8.09 | $11.80 | $54.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.75 / $39.07 / $293.00
| Facility | | $17.75 | $39.07 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $10.39 / $25.10
| Professional | | $6.51 | $10.39 | $25.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.48 / $69.00 / $120.71
| Facility | | $26.48 | $69.00 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $11.68 / $42.92
| Professional | | $8.18 | $11.68 | $42.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.53 / $21.27 / $53.02
| Facility | | $10.53 | $21.27 | $53.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $18.59 / $27.40
| Professional | | $9.55 | $18.59 | $27.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $16.20 / $25.92
| Professional | | $12.23 | $16.20 | $25.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $16.20 / $36.14
| Professional | | $12.96 | $16.20 | $36.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $76.95 / $76.95
| Facility | | $55.00 | $76.95 | $76.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.72 / $9.72 / $9.72
| Professional | | $9.72 | $9.72 | $9.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.34 / $16.59 / $41.74
| Facility | | $11.34 | $16.59 | $41.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.77 / $16.20 / $28.43
| Professional | | $9.77 | $16.20 | $28.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.86 / $56.86 / $56.86
| Professional | | $56.86 | $56.86 | $56.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.96 / $16.20 / $22.68
| Professional | | $12.96 | $16.20 | $22.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $7.85 / $26.35
| Professional | | $6.80 | $7.85 | $26.35 |