- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.56 / $128.44 / $327.13
| Facility | | $14.56 | $128.44 | $327.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.43 / $10.79 / $21.58
| Professional | | $7.43 | $10.79 | $21.58 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.19 / $5.99 / $7.19
| Professional | | $4.19 | $5.99 | $7.19 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.38 / $38.70 / $71.76
| Facility | | $14.38 | $38.70 | $71.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.35 / $10.78
| Professional | | $5.00 | $6.35 | $10.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.98 / $17.37 / $84.05
| Facility | | $11.98 | $17.37 | $84.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.99 / $11.98 / $17.97
| Professional | | $8.99 | $11.98 | $17.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.92 / $11.92 / $11.98
| Facility | | $11.92 | $11.92 | $11.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.48 / $26.33 / $60.83
| Facility | | $9.48 | $26.33 | $60.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $12.43 / $20.23
| Professional | | $6.35 | $12.43 | $20.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $50.00 / $60.00 / $60.00
| Facility | | $50.00 | $60.00 | $60.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.58 / $11.98 / $21.23
| Facility | | $9.58 | $11.98 | $21.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.78 / $11.98 / $15.62
| Professional | | $10.78 | $11.98 | $15.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.60 / $11.98 / $29.89
| Facility | | $9.60 | $11.98 | $29.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.35 / $11.98 / $17.32
| Professional | | $6.35 | $11.98 | $17.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.03 / $6.87 / $12.57
| Professional | | $5.03 | $6.87 | $12.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.92 / $5.92 / $11.98
| Professional | | $5.92 | $5.92 | $11.98 |