- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $49.03 / $158.55
| Facility | | $9.80 | $49.03 | $158.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.80 / $11.11 / $226.92
| Professional | | $9.80 | $11.11 | $226.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $38.67 / $85.12 / $312.00
| Facility | | $38.67 | $85.12 | $312.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $14.12 / $29.22
| Professional | | $7.32 | $14.12 | $29.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.09 / $72.95 / $120.71
| Facility | | $27.09 | $72.95 | $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
- $13.66 / $46.34 / $113.78
| Facility | | $13.66 | $46.34 | $113.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $37.84 / $53.69
| Professional | | $8.86 | $37.84 | $53.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $35.29 / $56.46
| Professional | | $10.10 | $35.29 | $56.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $28.23 / $35.29 / $68.81
| Professional | | $28.23 | $35.29 | $68.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $56.46 / $167.63 / $167.63
| Facility | | $56.46 | $167.63 | $167.63 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.64 / $17.64 / $17.64
| Professional | | $17.64 | $17.64 | $17.64 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.33 / $31.76 / $71.75
| Facility | | $15.33 | $31.76 | $71.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $20.80 / $42.35
| Professional | | $8.86 | $20.80 | $42.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $123.86 / $123.86 / $123.86
| Professional | | $123.86 | $123.86 | $123.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.87 / $28.12 / $31.76
| Professional | | $16.87 | $28.12 | $31.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $14.82 / $63.87
| Professional | | $7.04 | $14.82 | $63.87 |