- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.64 / $28.71 / $84.00
| Facility | | $11.64 | $28.71 | $84.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.23 / $13.75 / $18.47
| Professional | | $9.23 | $13.75 | $18.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.39 / $9.23 / $10.69
| Professional | | $7.39 | $9.23 | $10.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.23 / $49.56 / $92.03
| Facility | | $17.23 | $49.56 | $92.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.16 / $13.70
| Professional | | $5.00 | $8.16 | $13.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.39 / $23.85 / $58.49
| Facility | | $15.39 | $23.85 | $58.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.54 / $15.28 / $23.09
| Professional | | $11.54 | $15.28 | $23.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $15.08 / $15.39
| Facility | | $15.08 | $15.08 | $15.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $33.79 / $78.02
| Facility | | $10.75 | $33.79 | $78.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.16 / $11.19 / $25.71
| Professional | | $8.16 | $11.19 | $25.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.97 / $111.86 / $111.86
| Facility | | $87.97 | $111.86 | $111.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $15.39 / $20.01
| Facility | | $12.31 | $15.39 | $20.01 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.85 / $15.39 / $20.05
| Professional | | $13.85 | $15.39 | $20.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $15.39 / $42.48
| Facility | | $12.31 | $15.39 | $42.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.16 / $11.85 / $22.23
| Professional | | $8.16 | $11.85 | $22.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.46 / $8.80 / $12.56
| Professional | | $6.46 | $8.80 | $12.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.00 / $7.60 / $15.39
| Professional | | $6.00 | $7.60 | $15.39 |