- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.08 / $63.96 / $176.11
| Facility | | $13.08 | $63.96 | $176.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.16 / $13.85 / $26.84
| Professional | | $12.16 | $13.85 | $26.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $9.23 / $9.23
| Professional | | $9.23 | $9.23 | $9.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $77.61 / $100.78 / $8,639.91
| Facility | | $77.61 | $100.78 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.00 / $12.00 / $12.00
| Professional | | $12.00 | $12.00 | $12.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.11 / $20.49 / $51.07
| Facility | | $10.11 | $20.49 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $17.76 / $27.08
| Professional | | $9.63 | $17.76 | $27.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.08 / $9.08 / $20.84
| Professional | | $7.08 | $9.08 | $20.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.28 / $38.97 / $150.57
| Facility | | $20.28 | $38.97 | $150.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $15.00 / $15.00
| Professional | | $9.23 | $15.00 | $15.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.08 / $57.71 / $190.45
| Facility | | $13.08 | $57.71 | $190.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.54 / $13.85 / $36.36
| Professional | | $11.54 | $13.85 | $36.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.30 / $23.36 / $51.07
| Facility | | $10.30 | $23.36 | $51.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.63 / $17.76 / $27.08
| Professional | | $9.63 | $17.76 | $27.08 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $15.39 / $15.39
| Facility | | $15.39 | $15.39 | $15.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $15.39 / $21.90
| Professional | | $13.54 | $15.39 | $21.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $10.00 / $30.97
| Professional | | $6.46 | $10.00 | $30.97 |