- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.14 / $44.75 / $87.79
| Facility | | $12.14 | $44.75 | $87.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.00 / $11.05 / $19.28
| Professional | | $9.00 | $11.05 | $19.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.16 / $9.64 / $9.64
| Professional | | $8.16 | $9.64 | $9.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.68 / $50.14 / $86.78
| Facility | | $17.68 | $50.14 | $86.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.52 / $10.77
| Professional | | $5.00 | $8.52 | $10.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.09 / $24.11 / $71.81
| Facility | | $14.09 | $24.11 | $71.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.81 / $16.07 / $16.07
| Facility | | $13.81 | $16.07 | $16.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.23 / $27.79 / $70.95
| Facility | | $11.23 | $27.79 | $70.95 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $8.86 / $24.62
| Professional | | $7.77 | $8.86 | $24.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $76.33 / $76.33
| Facility | | $55.00 | $76.33 | $76.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.70 / $16.07 / $19.28
| Facility | | $11.70 | $16.07 | $19.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.85 / $16.07 / $16.07
| Professional | | $14.85 | $16.07 | $16.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $662.00 / $879.00 / $1,418.00
| Facility | | $662.00 | $879.00 | $1,418.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.70 / $16.07 / $36.82
| Facility | | $11.70 | $16.07 | $36.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.77 / $10.06 / $17.18
| Professional | | $7.77 | $10.06 | $17.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.75 / $7.04 / $12.57
| Professional | | $6.75 | $7.04 | $12.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.27 / $6.43 / $16.07
| Professional | | $6.27 | $6.43 | $16.07 |