- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.74 / $57.72 / $96.13
| Facility | | $14.74 | $57.72 | $96.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.19 / $10.46 / $12.49
| Professional | | $10.19 | $10.46 | $12.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.94 / $20.85 / $80.00
| Facility | | $10.94 | $20.85 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $11.98 / $29.18
| Professional | | $7.19 | $11.98 | $29.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.09 / $33.59 / $58.73
| Facility | | $21.09 | $33.59 | $58.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.26 / $11.26 / $14.65
| Professional | | $11.26 | $11.26 | $14.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.38 / $18.09 / $40.99
| Facility | | $8.38 | $18.09 | $40.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.29 / $11.10 / $20.34
| Professional | | $7.29 | $11.10 | $20.34 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.78 / $3,472.00 / $9,239.00
| Facility | | $50.78 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.27 / $17.27 / $20.32
| Professional | | $17.27 | $17.27 | $20.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $16.60 / $43.84
| Professional | | $11.98 | $16.60 | $43.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.78 / $15.03 / $109.85
| Facility | | $13.78 | $15.03 | $109.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.85 / $80.00 / $80.00
| Facility | | $20.85 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.39 / $7.19 / $24.18
| Professional | | $5.39 | $7.19 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.70 / $14.38 / $28.10
| Facility | | $11.70 | $14.38 | $28.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $11.98 / $14.48
| Professional | | $10.56 | $11.98 | $14.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.03 / $24.18
| Professional | | $5.75 | $8.03 | $24.18 |