- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $45.62 / $95.91
| Facility | | $10.85 | $45.62 | $95.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.98 / $11.11 / $50.39
| Professional | | $8.98 | $11.11 | $50.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.91 / $32.83 / $293.00
| Facility | | $14.91 | $32.83 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $7.68 / $23.68
| Professional | | $5.92 | $7.68 | $23.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.77 / $69.00 / $120.71
| Facility | | $25.77 | $69.00 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $65.33
| Professional | | $5.75 | $8.22 | $65.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.85 / $17.61 / $44.56
| Facility | | $8.85 | $17.61 | $44.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.06 / $15.69 / $20.65
| Professional | | $8.06 | $15.69 | $20.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $13.61 / $21.78
| Professional | | $10.10 | $13.61 | $21.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.89 / $13.61 / $29.67
| Professional | | $10.89 | $13.61 | $29.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.65 / $64.65 / $80.00
| Facility | | $64.65 | $64.65 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.80 / $6.80 / $6.80
| Professional | | $6.80 | $6.80 | $6.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.52 / $14.72 / $38.76
| Facility | | $9.52 | $14.72 | $38.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $13.61 / $25.93
| Professional | | $8.78 | $13.61 | $25.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.77 / $47.77 / $47.77
| Professional | | $47.77 | $47.77 | $47.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $11.31 / $14.14
| Professional | | $10.30 | $11.31 | $14.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.72 / $7.22 / $23.33
| Professional | | $5.72 | $7.22 | $23.33 |