- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.98 / $59.93 / $98.93
| Facility | | $22.98 | $59.93 | $98.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.24 / $11.93 / $20.66
| Professional | | $11.24 | $11.93 | $20.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.07 / $33.22 / $80.00
| Facility | | $12.07 | $33.22 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.56 / $13.24 / $32.25
| Professional | | $6.56 | $13.24 | $32.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.15 / $36.86 / $64.45
| Facility | | $23.15 | $36.86 | $64.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.45 / $12.45 / $16.94
| Professional | | $12.45 | $12.45 | $16.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.25 / $20.63 / $51.12
| Facility | | $9.25 | $20.63 | $51.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $15.28 / $32.54
| Professional | | $7.80 | $15.28 | $32.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.76 / $58.68 / $6,679.00
| Facility | | $15.76 | $58.68 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.50 / $17.44 / $22.51
| Professional | | $13.50 | $17.44 | $22.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.24 / $18.35 / $52.61
| Professional | | $13.24 | $18.35 | $52.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.59 / $17.30 / $65.81
| Facility | | $15.59 | $17.30 | $65.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.22 / $80.00 / $80.00
| Facility | | $33.22 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $7.94 / $27.95
| Professional | | $5.25 | $7.94 | $27.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.85 / $15.83 / $29.45
| Facility | | $12.85 | $15.83 | $29.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.68 / $13.65 / $16.73
| Professional | | $11.68 | $13.65 | $16.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.30 / $7.94 / $52.50
| Professional | | $5.30 | $7.94 | $52.50 |