- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $44.44 / $95.91
| Facility | | $9.80 | $44.44 | $95.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $10.85 / $86.29
| Professional | | $6.49 | $10.85 | $86.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.70 / $32.36 / $293.00
| Facility | | $14.70 | $32.36 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $7.68 / $22.67
| Professional | | $5.92 | $7.68 | $22.67 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.77 / $68.79 / $120.71
| Facility | | $25.77 | $68.79 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $64.42
| Professional | | $5.75 | $8.22 | $64.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.72 / $17.61 / $43.96
| Facility | | $8.72 | $17.61 | $43.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.85 / $15.28 / $24.09
| Professional | | $7.85 | $15.28 | $24.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $13.42 / $21.47
| Professional | | $10.10 | $13.42 | $21.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.74 / $13.42 / $29.26
| Professional | | $10.74 | $13.42 | $29.26 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $70.00 / $70.00 / $80.00
| Facility | | $70.00 | $70.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.71 / $6.71 / $6.71
| Professional | | $6.71 | $6.71 | $6.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.71 / $15.00 / $40.44
| Facility | | $6.71 | $15.00 | $40.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.81 / $13.42 / $26.28
| Professional | | $8.81 | $13.42 | $26.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $47.10 / $47.10 / $47.10
| Professional | | $47.10 | $47.10 | $47.10 |
- 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
- $5.64 / $7.22 / $22.63
| Professional | | $5.64 | $7.22 | $22.63 |