- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.58 / $58.08 / $132.87
| Facility | | $13.58 | $58.08 | $132.87 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.82 / $13.58 / $49.80
| Professional | | $6.82 | $13.58 | $49.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.10 / $31.04 / $293.00
| Facility | | $14.10 | $31.04 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.36 / $10.14 / $29.95
| Professional | | $6.36 | $10.14 | $29.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.33 / $80.01 / $165.42
| Facility | | $33.33 | $80.01 | $165.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.97 / $11.39 / $61.78
| Professional | | $7.97 | $11.39 | $61.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.90 / $16.91 / $43.11
| Facility | | $8.90 | $16.91 | $43.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.49 / $15.63 / $22.89
| Professional | | $8.49 | $15.63 | $22.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.44 / $12.87 / $20.59
| Professional | | $11.44 | $12.87 | $20.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $12.87 / $28.06
| Professional | | $10.30 | $12.87 | $28.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $70.00 / $130.05
| Facility | | $58.00 | $70.00 | $130.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $6.43 / $6.43
| Professional | | $6.43 | $6.43 | $6.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.67 / $15.44 / $36.77
| Facility | | $10.67 | $15.44 | $36.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.58 / $12.87 / $25.74
| Professional | | $8.58 | $12.87 | $25.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $45.17 / $45.17 / $45.17
| Professional | | $45.17 | $45.17 | $45.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $12.87 / $18.02
| Professional | | $10.30 | $12.87 | $18.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $7.72 / $25.88
| Professional | | $5.41 | $7.72 | $25.88 |