- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.32 / $74.06 / $169.46
| Facility | | $17.32 | $74.06 | $169.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $17.32 / $118.06
| Professional | | $10.60 | $17.32 | $118.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.12 / $44.28 / $293.00
| Facility | | $20.12 | $44.28 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $12.94 / $38.09
| Professional | | $8.10 | $12.94 | $38.09 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.71 / $86.00 / $211.05
| Facility | | $43.71 | $86.00 | $211.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.17 / $14.53 / $56.75
| Professional | | $10.17 | $14.53 | $56.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.93 / $24.10 / $60.19
| Facility | | $11.93 | $24.10 | $60.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.82 / $21.06 / $32.53
| Professional | | $10.82 | $21.06 | $32.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.69 / $18.36 / $29.38
| Professional | | $14.69 | $18.36 | $29.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.69 / $18.36 / $40.02
| Professional | | $14.69 | $18.36 | $40.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $87.21 / $87.21
| Facility | | $55.00 | $87.21 | $87.21 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.01 / $11.01 / $11.01
| Professional | | $11.01 | $11.01 | $11.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.67 / $20.52 / $46.53
| Facility | | $13.67 | $20.52 | $46.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.16 / $18.36 / $35.40
| Professional | | $12.16 | $18.36 | $35.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $64.44 / $64.44 / $64.44
| Professional | | $64.44 | $64.44 | $64.44 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.69 / $18.36 / $25.70
| Professional | | $14.69 | $18.36 | $25.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $9.88 / $31.75
| Professional | | $7.71 | $9.88 | $31.75 |