- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $44.44 / $139.91
| Facility | | $9.80 | $44.44 | $139.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $11.11 / $56.58
| Professional | | $9.80 | $11.11 | $56.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.84 / $52.49 / $293.00
| Facility | | $23.84 | $52.49 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $12.88 / $25.00
| Professional | | $7.32 | $12.88 | $25.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.90 / $69.00 / $120.71
| Facility | | $26.90 | $69.00 | $120.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $8.22 / $28.60
| Professional | | $5.75 | $8.22 | $28.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.00 / $28.56 / $70.13
| Facility | | $14.00 | $28.56 | $70.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $24.78 / $33.04
| Professional | | $8.91 | $24.78 | $33.04 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $21.76 / $34.82
| Professional | | $10.10 | $21.76 | $34.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.41 / $21.76 / $42.43
| Professional | | $17.41 | $21.76 | $42.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $80.00 / $103.36 / $103.36
| Facility | | $80.00 | $103.36 | $103.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.05 / $13.05 / $13.05
| Professional | | $13.05 | $13.05 | $13.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.88 / $20.67 / $51.75
| Facility | | $10.88 | $20.67 | $51.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.42 / $18.00 / $25.93
| Professional | | $9.42 | $18.00 | $25.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $76.37 / $76.37 / $76.37
| Professional | | $76.37 | $76.37 | $76.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $17.17 / $19.57
| Professional | | $10.30 | $17.17 | $19.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $9.14 / $30.25
| Professional | | $7.04 | $9.14 | $30.25 |