- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.24 / $22.80 / $63.26
| Facility | | $9.24 | $22.80 | $63.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.84 / $9.07 / $19.00
| Professional | | $6.84 | $9.07 | $19.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.08 / $39.47 / $73.81
| Facility | | $15.08 | $39.47 | $73.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $6.72 / $17.11
| Professional | | $5.00 | $6.72 | $17.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.55 / $16.62 / $17.11
| Professional | | $8.55 | $16.62 | $17.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.22 / $12.83 / $12.83
| Facility | | $12.22 | $12.83 | $12.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.24 / $27.80 / $57.49
| Facility | | $14.24 | $27.80 | $57.49 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.99 / $9.72 / $26.79
| Professional | | $6.99 | $9.72 | $26.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.14 / $80.00 / $80.00
| Facility | | $40.14 | $80.00 | $80.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $91.65 / $100.48 / $100.48
| Professional | | $91.65 | $100.48 | $100.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.55 / $13.44 / $24.94
| Facility | | $8.55 | $13.44 | $24.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.22 / $12.22 / $16.95
| Professional | | $12.22 | $12.22 | $16.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.77 / $18.30 / $51.61
| Facility | | $9.77 | $18.30 | $51.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $13.44 / $23.77
| Professional | | $7.09 | $13.44 | $23.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.13 / $7.00 / $9.65
| Professional | | $5.13 | $7.00 | $9.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.03 / $6.33 / $12.22
| Professional | | $6.03 | $6.33 | $12.22 |