- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $22.91 / $36.31
| Facility | | $12.02 | $22.91 | $36.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.59 / $10.00 / $22.91
| Professional | | $7.59 | $10.00 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $31.62
| Facility | | $12.02 | $12.02 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.75 / $5.75 / $25.70
| Professional | | $5.75 | $5.75 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.24 / $12.02 / $12.02
| Facility | | $7.24 | $12.02 | $12.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $12.02 / $12.02
| Professional | | $8.91 | $12.02 | $12.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.12 / $30.20 / $109.65
| Facility | | $9.12 | $30.20 | $109.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $16.60 / $64.57
| Professional | | $7.76 | $16.60 | $64.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $19.95 / $46.77
| Facility | | $12.02 | $19.95 | $46.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.51 / $12.02 / $22.91
| Professional | | $8.51 | $12.02 | $22.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.02 / $21.38
| Professional | | $10.23 | $12.02 | $21.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $22.91 / $50,118.72
| Facility | | $15.85 | $22.91 | $50,118.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $14.13
| Professional | | $12.02 | $12.02 | $14.13 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $12.02 / $14.45
| Facility | | $10.96 | $12.02 | $14.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.37 / $7.24 / $18.62
| Professional | | $5.37 | $7.24 | $18.62 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.59 / $13.18 / $32.36
| Facility | | $7.59 | $13.18 | $32.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $12.88 / $32.36
| Professional | | $10.23 | $12.88 | $32.36 |