- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.50 / $79.33 / $121.22
| Facility | | $24.50 | $79.33 | $121.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.07 / $12.45 / $18.46
| Professional | | $11.07 | $12.45 | $18.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.01 / $35.40 / $74.00
| Facility | | $13.01 | $35.40 | $74.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.85 / $14.27 / $34.76
| Professional | | $6.85 | $14.27 | $34.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.48 / $40.14 / $70.18
| Facility | | $22.48 | $40.14 | $70.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.41 / $13.41 / $14.55
| Professional | | $13.41 | $13.41 | $14.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.97 / $21.18 / $48.76
| Facility | | $9.97 | $21.18 | $48.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.52 / $13.37 / $23.95
| Professional | | $8.52 | $13.37 | $23.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $80.80 / $6,679.00
| Facility | | $16.98 | $80.80 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.56 / $18.80 / $24.16
| Professional | | $14.56 | $18.80 | $24.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.27 / $19.78 / $56.53
| Professional | | $14.27 | $19.78 | $56.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.15 / $18.41 / $111.29
| Facility | | $15.15 | $18.41 | $111.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.40 / $74.00 / $74.00
| Facility | | $35.40 | $74.00 | $74.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.30 / $8.56 / $24.54
| Professional | | $6.30 | $8.56 | $24.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.28 / $16.23 / $29.43
| Facility | | $12.28 | $16.23 | $29.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.88 / $13.19 / $15.44
| Professional | | $11.88 | $13.19 | $15.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.99 / $8.56 / $24.54
| Professional | | $5.99 | $8.56 | $24.54 |