- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.54 / $91.76 / $297.73
| Facility | | $10.54 | $91.76 | $297.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $11.89 / $32.36
| Professional | | $10.03 | $11.89 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $7.43 / $7.43
| Professional | | $7.43 | $7.43 | $7.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.48 / $81.13 / $8,639.91
| Facility | | $62.48 | $81.13 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.66 / $9.66 / $9.66
| Professional | | $9.66 | $9.66 | $9.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $16.48 / $41.29
| Facility | | $8.15 | $16.48 | $41.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $14.15 / $21.58
| Professional | | $7.77 | $14.15 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.70 / $7.31 / $16.78
| Professional | | $5.70 | $7.31 | $16.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.14 / $31.57 / $91.46
| Facility | | $17.14 | $31.57 | $91.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.72 / $10.54 / $12.00
| Professional | | $9.72 | $10.54 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.58 / $65.42 / $289.20
| Facility | | $11.58 | $65.42 | $289.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.59 / $11.23 / $35.17
| Professional | | $9.59 | $11.23 | $35.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.28 / $18.82 / $41.29
| Facility | | $8.28 | $18.82 | $41.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $14.15 / $21.58
| Professional | | $7.77 | $14.15 | $21.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.39 / $12.39 / $12.39
| Facility | | $12.39 | $12.39 | $12.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.90 / $12.39 / $17.63
| Professional | | $10.90 | $12.39 | $17.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.93 / $22.67
| Professional | | $5.25 | $7.93 | $22.67 |