- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.19 / $34.59 / $133.81
| Facility | | $15.19 | $34.59 | $133.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.69 / $13.07 / $25.68
| Professional | | $10.69 | $13.07 | $25.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.77 / $34.71 / $293.00
| Facility | | $15.77 | $34.71 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $11.34 / $33.14
| Professional | | $7.11 | $11.34 | $33.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $37.27 / $84.90 / $185.01
| Facility | | $37.27 | $84.90 | $185.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $12.75 / $69.06
| Professional | | $8.93 | $12.75 | $69.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.94 / $18.89 / $48.15
| Facility | | $9.94 | $18.89 | $48.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.34 / $16.98 / $21.76
| Professional | | $9.34 | $16.98 | $21.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.79 / $14.39 / $23.02
| Professional | | $12.79 | $14.39 | $23.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $14.39 / $31.66
| Professional | | $11.51 | $14.39 | $31.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $68.40 / $68.40 / $80.00
| Facility | | $68.40 | $68.40 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.63 / $8.63 / $8.63
| Professional | | $8.63 | $8.63 | $8.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.95 / $15.83 / $36.47
| Facility | | $12.95 | $15.83 | $36.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.51 / $14.39 / $28.78
| Professional | | $9.51 | $14.39 | $28.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $50.50 / $50.50 / $50.50
| Professional | | $50.50 | $50.50 | $50.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.51 / $13.05 / $17.91
| Professional | | $11.51 | $13.05 | $17.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.04 / $8.56 / $27.84
| Professional | | $6.04 | $8.56 | $27.84 |