- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.85 / $52.28 / $134.58
| Facility | | $10.85 | $52.28 | $134.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.60 / $13.67 / $90.86
| Professional | | $10.60 | $13.67 | $90.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.48 / $34.08 / $293.00
| Facility | | $15.48 | $34.08 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $7.53 / $16.77
| Professional | | $5.92 | $7.53 | $16.77 |
- 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 / $25.16
| Professional | | $5.75 | $8.22 | $25.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.18 / $18.54 / $47.28
| Facility | | $9.18 | $18.54 | $47.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $17.35 / $24.61
| Professional | | $8.86 | $17.35 | $24.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.79 / $14.13 / $22.61
| Professional | | $5.79 | $14.13 | $22.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.30 / $14.13 / $32.02
| Professional | | $11.30 | $14.13 | $32.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.34 / $80.54 / $80.54
| Facility | | $63.34 | $80.54 | $80.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.95 / $20.23 / $35.00
| Professional | | $18.95 | $20.23 | $35.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.64 / $14.32 / $35.07
| Facility | | $9.64 | $14.32 | $35.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $14.13 / $26.28
| Professional | | $8.86 | $14.13 | $26.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $49.59 / $49.59 / $49.59
| Professional | | $49.59 | $49.59 | $49.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.91 / $9.84 / $12.72
| Professional | | $5.91 | $9.84 | $12.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.93 / $7.14 / $23.19
| Professional | | $5.93 | $7.14 | $23.19 |