- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.27 / $48.18 / $110.24
| Facility | | $11.27 | $48.18 | $110.24 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.10 / $9.83 / $68.61
| Professional | | $7.10 | $9.83 | $68.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.69 / $25.74 / $293.00
| Facility | | $11.69 | $25.74 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.27 / $10.00 / $51.55
| Professional | | $5.27 | $10.00 | $51.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $27.64 / $72.50 / $138.66
| Facility | | $27.64 | $72.50 | $138.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.62 / $9.44 / $51.22
| Professional | | $6.62 | $9.44 | $51.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $7.39 / $14.02 / $35.74
| Facility | | $7.39 | $14.02 | $35.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $12.80 / $17.66
| Professional | | $7.19 | $12.80 | $17.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.67 / $11.74 / $99.00
| Professional | | $10.67 | $11.74 | $99.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $10.67 / $24.54
| Professional | | $8.53 | $10.67 | $24.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $207.19 / $219.52 / $225.45
| Facility | | $207.19 | $219.52 | $225.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.86 / $12.80 / $35.28
| Facility | | $8.86 | $12.80 | $35.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.19 / $10.67 / $21.34
| Professional | | $7.19 | $10.67 | $21.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $37.45 / $37.45 / $37.45
| Professional | | $37.45 | $37.45 | $37.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $10.67 / $14.94
| Professional | | $8.53 | $10.67 | $14.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.48 / $6.40 / $21.41
| Professional | | $4.48 | $6.40 | $21.41 |