- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.37 / $117.41 / $478.14
| Facility | | $19.37 | $117.41 | $478.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $3.33 / $19.37 / $25.84
| Professional | | $3.33 | $19.37 | $25.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.01 / $13.39 / $22.23
| Professional | | $8.01 | $13.39 | $22.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.00 / $6.00 / $6.00
| Facility | | $6.00 | $6.00 | $6.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.30 / $7.30 / $7.30
| Professional | | $7.30 | $7.30 | $7.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.56 / $66.42 / $157.04
| Facility | | $21.56 | $66.42 | $157.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $26.85 / $106.04
| Professional | | $10.98 | $26.85 | $106.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.60 / $27.92 / $332.00
| Facility | | $13.60 | $27.92 | $332.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $12.67 / $29.24
| Professional | | $9.88 | $12.67 | $29.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.82 / $11.82 / $11.82
| Facility | | $11.82 | $11.82 | $11.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.82 / $17.29 / $30.14
| Professional | | $11.82 | $17.29 | $30.14 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.16 / $14.16 / $14.38
| Facility | | $14.16 | $14.16 | $14.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.91 / $79.18 / $254.50
| Facility | | $19.91 | $79.18 | $254.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $24.64 / $33.56
| Professional | | $10.98 | $24.64 | $33.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $14.30 / $48.47
| Professional | | $6.58 | $14.30 | $48.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.59 / $33.06 / $33.06
| Facility | | $18.59 | $33.06 | $33.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.65 / $25.46 / $34.54
| Professional | | $13.65 | $25.46 | $34.54 |