- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $52.28 / $104.41
| Facility | | $10.85 | $52.28 | $104.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.70 / $10.91 / $86.29
| Professional | | $6.70 | $10.91 | $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 / $23.04
| Professional | | $5.92 | $7.68 | $23.04 |
- 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 / $64.42
| Professional | | $5.75 | $8.22 | $64.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.72 / $17.61 / $44.91
| Facility | | $8.72 | $17.61 | $44.91 |
- 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 / $30.00
| Professional | | $10.74 | $13.42 | $30.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $70.00 / $70.00
| Facility | | $55.00 | $70.00 | $70.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.05 / $8.05 / $8.05
| Professional | | $8.05 | $8.05 | $8.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.39 / $14.52 / $34.38
| Facility | | $9.39 | $14.52 | $34.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $13.42 / $26.28
| Professional | | $8.78 | $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 / $23.19
| Professional | | $5.64 | $7.22 | $23.19 |