- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.80 / $49.03 / $157.91
| Facility | | $9.80 | $49.03 | $157.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.49 / $11.11 / $157.91
| Professional | | $6.49 | $11.11 | $157.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.91 / $59.24 / $293.00
| Facility | | $26.91 | $59.24 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.32 / $9.82 / $25.54
| Professional | | $7.32 | $9.82 | $25.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.09 / $69.26 / $120.71
| Facility | | $27.09 | $69.26 | $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 / $32.24 / $79.16
| Facility | | $13.66 | $32.24 | $79.16 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $26.28 / $37.18
| Professional | | $8.86 | $26.28 | $37.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.10 / $24.56 / $39.29
| Professional | | $10.10 | $24.56 | $39.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.64 / $24.56 / $53.54
| Professional | | $19.64 | $24.56 | $53.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $116.66 / $116.66
| Facility | | $55.00 | $116.66 | $116.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.28 / $12.28 / $12.28
| Professional | | $12.28 | $12.28 | $12.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.28 / $22.98 / $54.76
| Facility | | $12.28 | $22.98 | $54.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.86 / $16.48 / $29.47
| Professional | | $8.86 | $16.48 | $29.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $86.20 / $86.20 / $86.20
| Professional | | $86.20 | $86.20 | $86.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.87 / $19.64 / $24.56
| Professional | | $16.87 | $19.64 | $24.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.04 / $10.32 / $29.47
| Professional | | $7.04 | $10.32 | $29.47 |