- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.93 / $67.43 / $164.35
| Facility | | $17.93 | $67.43 | $164.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.75 / $9.00 / $10.33
| Professional | | $7.75 | $9.00 | $10.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.42 / $26.55 / $60.00
| Facility | | $9.42 | $26.55 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.20 / $10.33 / $25.16
| Professional | | $6.20 | $10.33 | $25.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.00 / $28.67 / $50.13
| Facility | | $18.00 | $28.67 | $50.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.71 / $9.71 / $13.22
| Professional | | $9.71 | $9.71 | $13.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.22 / $15.34 / $35.29
| Facility | | $7.22 | $15.34 | $35.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.24 / $11.42 / $17.63
| Professional | | $6.24 | $11.42 | $17.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.00 / $3,472.00 / $9,239.00
| Facility | | $53.00 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.93 / $14.93 / $17.57
| Professional | | $14.93 | $14.93 | $17.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.33 / $14.32 / $38.46
| Professional | | $10.33 | $14.32 | $38.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.41 / $13.46 / $68.20
| Facility | | $11.41 | $13.46 | $68.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.55 / $60.00 / $60.00
| Facility | | $26.55 | $60.00 | $60.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $6.30 / $21.80
| Professional | | $4.96 | $6.30 | $21.80 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.99 / $12.34 / $22.97
| Facility | | $9.99 | $12.34 | $22.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.11 / $10.66 / $13.07
| Professional | | $9.11 | $10.66 | $13.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.96 / $6.30 / $19.69
| Professional | | $4.96 | $6.30 | $19.69 |