- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $40.36 / $100.31
| Facility | | $9.80 | $40.36 | $100.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $10.88 / $50.39
| Professional | | $7.79 | $10.88 | $50.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.09 / $37.63 / $293.00
| Facility | | $17.09 | $37.63 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $7.75 / $23.76
| Professional | | $6.24 | $7.75 | $23.76 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.48 / $68.79 / $120.71
| Facility | | $26.48 | $68.79 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $74.88
| Professional | | $5.75 | $8.22 | $74.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.14 / $20.48 / $51.05
| Facility | | $10.14 | $20.48 | $51.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $17.76 / $24.61
| Professional | | $8.78 | $17.76 | $24.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $15.60 / $24.96
| Professional | | $10.10 | $15.60 | $24.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $15.60 / $33.33
| Professional | | $12.48 | $15.60 | $33.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $58.00 / $74.09 / $90.00
| Facility | | $58.00 | $74.09 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $7.80 / $7.80
| Professional | | $7.80 | $7.80 | $7.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.55 / $15.82 / $40.20
| Facility | | $10.55 | $15.82 | $40.20 |
- 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
- $54.75 / $54.75 / $54.75
| Professional | | $54.75 | $54.75 | $54.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $15.60 / $21.84
| Professional | | $12.48 | $15.60 | $21.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.55 / $7.14 / $24.11
| Professional | | $6.55 | $7.14 | $24.11 |