- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $33.94 / $103.33
| Facility | | $9.80 | $33.94 | $103.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $11.11 / $22.06
| Professional | | $9.80 | $11.11 | $22.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.61 / $38.76 / $293.00
| Facility | | $17.61 | $38.76 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.43 / $7.75 / $24.10
| Professional | | $6.43 | $7.75 | $24.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.48 / $69.00 / $120.71
| Facility | | $26.48 | $69.00 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $32.43
| Professional | | $5.75 | $8.22 | $32.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.45 / $21.11 / $52.62
| Facility | | $10.45 | $21.11 | $52.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $18.59 / $24.61
| Professional | | $8.78 | $18.59 | $24.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.97 / $16.07 / $25.71
| Professional | | $5.97 | $16.07 | $25.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $16.07 / $33.33
| Professional | | $12.86 | $16.07 | $33.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $76.33 / $76.33
| Facility | | $55.00 | $76.33 | $76.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.64 / $9.64 / $9.64
| Professional | | $9.64 | $9.64 | $9.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.55 / $16.07 / $40.44
| Facility | | $10.55 | $16.07 | $40.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $15.50 / $26.28
| Professional | | $8.91 | $15.50 | $26.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $56.40 / $56.40 / $56.40
| Professional | | $56.40 | $56.40 | $56.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.86 / $16.07 / $22.50
| Professional | | $12.86 | $16.07 | $22.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $7.22 / $23.88
| Professional | | $6.75 | $7.22 | $23.88 |