- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.69 / $53.90 / $199.24
| Facility | | $9.69 | $53.90 | $199.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $18.01 / $52.52
| Professional | | $10.71 | $18.01 | $52.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.13 / $48.72 / $293.00
| Facility | | $22.13 | $48.72 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.98 / $15.91 / $30.30
| Professional | | $9.98 | $15.91 | $30.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.15 / $69.00 / $119.23
| Facility | | $26.15 | $69.00 | $119.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.52 / $17.89 / $64.95
| Professional | | $12.52 | $17.89 | $64.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.97 / $26.52 / $67.62
| Facility | | $13.97 | $26.52 | $67.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.16 / $24.56 / $36.14
| Professional | | $13.16 | $24.56 | $36.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.00 / $20.20 / $32.32
| Professional | | $16.00 | $20.20 | $32.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.16 / $20.20 / $39.39
| Professional | | $16.16 | $20.20 | $39.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $94.28 / $118.43 / $236.00
| Facility | | $94.28 | $118.43 | $236.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.12 / $12.12 / $12.12
| Professional | | $12.12 | $12.12 | $12.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.16 / $22.58 / $52.05
| Facility | | $16.16 | $22.58 | $52.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.45 / $20.20 / $40.40
| Professional | | $13.45 | $20.20 | $40.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $70.90 / $70.90 / $70.90
| Professional | | $70.90 | $70.90 | $70.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.16 / $20.20 / $28.28
| Professional | | $16.16 | $20.20 | $28.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.48 / $12.02 / $35.28
| Professional | | $8.48 | $12.02 | $35.28 |