- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.33 / $109.14 / $275.97
| Facility | | $31.33 | $109.14 | $275.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.59 / $25.89 / $190.84
| Professional | | $19.59 | $25.89 | $190.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.52 / $71.59 / $312.00
| Facility | | $32.52 | $71.59 | $312.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.66 / $17.80 / $65.08
| Professional | | $14.66 | $17.80 | $65.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $95.10 / $377.79
| Facility | | $55.00 | $95.10 | $377.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.43 / $19.18 / $80.42
| Professional | | $13.43 | $19.18 | $80.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.54 / $38.97 / $99.34
| Facility | | $20.54 | $38.97 | $99.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.30 / $36.04 / $53.01
| Professional | | $19.30 | $36.04 | $53.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.38 / $29.68 / $47.49
| Professional | | $26.38 | $29.68 | $47.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.74 / $29.68 / $64.70
| Professional | | $23.74 | $29.68 | $64.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.77 / $141.54 / $141.54
| Facility | | $70.77 | $141.54 | $141.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.84 / $14.84 / $14.84
| Professional | | $14.84 | $14.84 | $14.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.73 / $33.18 / $74.40
| Facility | | $15.73 | $33.18 | $74.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.71 / $29.68 / $59.36
| Professional | | $19.71 | $29.68 | $59.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $104.17 / $104.17 / $104.17
| Professional | | $104.17 | $104.17 | $104.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.74 / $29.68 / $41.55
| Professional | | $23.74 | $29.68 | $41.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.47 / $17.66 / $57.70
| Professional | | $12.47 | $17.66 | $57.70 |