- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.74 / $37.76 / $100.20
| Facility | | $15.74 | $37.76 | $100.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.61 / $11.23 / $22.46
| Professional | | $10.61 | $11.23 | $22.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.30 / $29.65 / $112.08
| Facility | | $11.30 | $29.65 | $112.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.95 / $12.39 / $28.89
| Professional | | $5.95 | $12.39 | $28.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.05 / $34.40 / $60.15
| Facility | | $17.05 | $34.40 | $60.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.65 / $11.65 / $12.27
| Professional | | $11.65 | $11.65 | $12.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.66 / $18.39 / $42.33
| Facility | | $8.66 | $18.39 | $42.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.49 / $11.60 / $20.79
| Professional | | $7.49 | $11.60 | $20.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.63 / $3,472.00 / $9,239.00
| Facility | | $32.63 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.73 / $17.73 / $20.86
| Professional | | $17.73 | $17.73 | $20.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.39 / $17.17 / $44.17
| Professional | | $12.39 | $17.17 | $44.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.13 / $26.10 / $114.15
| Facility | | $12.13 | $26.10 | $114.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.83 / $112.08 / $112.08
| Facility | | $39.83 | $112.08 | $112.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.43 / $20.78
| Professional | | $5.25 | $7.43 | $20.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.99 / $13.26 / $20.20
| Facility | | $9.99 | $13.26 | $20.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $10.93 / $13.41
| Professional | | $9.51 | $10.93 | $13.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.43 / $22.19
| Professional | | $5.25 | $7.43 | $22.19 |