- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.92 / $57.32 / $136.13
| Facility | | $13.92 | $57.32 | $136.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $12.13 / $57.50
| Professional | | $6.99 | $12.13 | $57.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.45 / $31.81 / $293.00
| Facility | | $14.45 | $31.81 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.51 / $10.39 / $30.70
| Professional | | $6.51 | $10.39 | $30.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $34.15 / $81.64 / $171.40
| Facility | | $34.15 | $81.64 | $171.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.18 / $11.68 / $63.31
| Professional | | $8.18 | $11.68 | $63.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.14 / $17.30 / $44.14
| Facility | | $9.14 | $17.30 | $44.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.69 / $15.95 / $23.49
| Professional | | $8.69 | $15.95 | $23.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.72 / $13.19 / $21.10
| Professional | | $11.72 | $13.19 | $21.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.55 / $13.19 / $28.75
| Professional | | $10.55 | $13.19 | $28.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.32 / $70.00 / $70.00
| Facility | | $32.32 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.91 / $7.91 / $7.91
| Professional | | $7.91 | $7.91 | $7.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $15.83 / $37.70
| Facility | | $10.94 | $15.83 | $37.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $13.19 / $26.38
| Professional | | $8.81 | $13.19 | $26.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $46.29 / $46.29 / $46.29
| Professional | | $46.29 | $46.29 | $46.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.55 / $13.19 / $18.47
| Professional | | $10.55 | $13.19 | $18.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.54 / $7.91 / $25.50
| Professional | | $5.54 | $7.91 | $25.50 |