- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.53 / $49.18 / $131.56
| Facility | | $10.53 | $49.18 | $131.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.07 / $10.79 / $48.94
| Professional | | $8.07 | $10.79 | $48.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.42 / $49.35 / $293.00
| Facility | | $22.42 | $49.35 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.11 / $8.18 / $24.51
| Professional | | $7.11 | $8.18 | $24.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.72 / $67.59 / $117.18
| Facility | | $25.72 | $67.59 | $117.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.59 / $7.98 / $31.49
| Professional | | $5.59 | $7.98 | $31.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.27 / $26.87 / $65.97
| Facility | | $10.27 | $26.87 | $65.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $19.30 / $30.98
| Professional | | $6.58 | $19.30 | $30.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.01 / $20.46 / $32.74
| Professional | | $8.01 | $20.46 | $32.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.37 / $20.46 / $47.06
| Professional | | $16.37 | $20.46 | $47.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $76.17 / $97.19 / $100.00
| Facility | | $76.17 | $97.19 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.27 / $12.27 / $12.27
| Professional | | $12.27 | $12.27 | $12.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.87 / $19.14 / $44.95
| Facility | | $10.87 | $19.14 | $44.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.59 / $13.03 / $24.55
| Professional | | $6.59 | $13.03 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $71.81 / $71.81 / $71.81
| Professional | | $71.81 | $71.81 | $71.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.37 / $18.41 / $23.76
| Professional | | $16.37 | $18.41 | $23.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.29 / $8.59 / $24.95
| Professional | | $5.29 | $8.59 | $24.95 |