- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.22 / $58.14 / $119.45
| Facility | | $22.22 | $58.14 | $119.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.78 / $23.04 / $23.38
| Professional | | $16.78 | $23.04 | $23.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.81 / $25.81 / $67.11
| Facility | | $25.81 | $25.81 | $67.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.31 / $15.61 / $58.24
| Professional | | $12.31 | $15.61 | $58.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $25.81 / $25.81
| Facility | | $15.49 | $25.81 | $25.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.84 / $25.81 / $25.81
| Professional | | $18.84 | $25.81 | $25.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.04 / $52.29 / $266.56
| Facility | | $18.04 | $52.29 | $266.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.30 / $28.86 / $189.39
| Professional | | $19.30 | $28.86 | $189.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.70 / $45.17 / $332.00
| Facility | | $28.70 | $45.17 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $15.49 / $47.23
| Professional | | $10.32 | $15.49 | $47.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.94 / $25.81 / $31.02
| Professional | | $21.94 | $25.81 | $31.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.77 / $63.78 / $182.47
| Facility | | $20.77 | $63.78 | $182.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $63.00 / $308.14
| Facility | | $23.66 | $63.00 | $308.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.56 / $35.47 / $70.00
| Professional | | $20.56 | $35.47 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $15.49 / $40.68
| Professional | | $10.84 | $15.49 | $40.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.68 / $29.68 / $95.05
| Facility | | $29.68 | $29.68 | $95.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.75 / $27.20 / $34.26
| Professional | | $22.75 | $27.20 | $34.26 |