- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.93 / $51.00 / $116.69
| Facility | | $11.93 | $51.00 | $116.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.51 / $12.22 / $72.66
| Professional | | $7.51 | $12.22 | $72.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.38 / $27.26 / $293.00
| Facility | | $12.38 | $27.26 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.58 / $8.90 / $28.96
| Professional | | $5.58 | $8.90 | $28.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.27 / $75.70 / $146.75
| Facility | | $29.27 | $75.70 | $146.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $10.00 / $54.24
| Professional | | $7.00 | $10.00 | $54.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.82 / $14.70 / $37.85
| Facility | | $7.82 | $14.70 | $37.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.42 / $13.63 / $19.88
| Professional | | $7.42 | $13.63 | $19.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.03 / $11.30 / $18.07
| Professional | | $10.03 | $11.30 | $18.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $11.30 / $24.63
| Professional | | $9.03 | $11.30 | $24.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $100.00
| Facility | | $55.00 | $70.00 | $100.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.65 / $5.65 / $5.65
| Professional | | $5.65 | $5.65 | $5.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.48 / $13.08 / $30.00
| Facility | | $8.48 | $13.08 | $30.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $11.30 / $22.60
| Professional | | $7.43 | $11.30 | $22.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $39.65 / $39.65 / $39.65
| Professional | | $39.65 | $39.65 | $39.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.03 / $11.30 / $15.82
| Professional | | $9.03 | $11.30 | $15.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.75 / $6.72 / $21.71
| Professional | | $4.75 | $6.72 | $21.71 |