- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.42 / $31.98 / $317.93
| Facility | | $14.42 | $31.98 | $317.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.67 / $16.89 / $26.33
| Professional | | $13.67 | $16.89 | $26.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $20.48 / $33.47
| Professional | | $15.37 | $20.48 | $33.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.90 / $32.90 / $32.90
| Facility | | $32.90 | $32.90 | $32.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $32.90 / $32.90 / $32.90
| Professional | | $32.90 | $32.90 | $32.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.26 / $36.26 / $36.26
| Facility | | $36.26 | $36.26 | $36.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.26 / $31.57 / $76.59
| Professional | | $15.26 | $31.57 | $76.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.48 / $21.48 / $319.00
| Facility | | $21.48 | $21.48 | $319.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.98 / $45.00 / $55.00
| Professional | | $24.98 | $45.00 | $55.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.32 / $22.03 / $22.03
| Facility | | $21.32 | $22.03 | $22.03 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.64 / $28.34 / $48.38
| Professional | | $18.64 | $28.34 | $48.38 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $36.26 / $36.26 / $555.00
| Facility | | $36.26 | $36.26 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.12 / $31.31 / $70.15
| Professional | | $20.12 | $31.31 | $70.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.23 / $21.23 / $21.23
| Facility | | $21.23 | $21.23 | $21.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.69 / $25.03 / $58.87
| Professional | | $18.69 | $25.03 | $58.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.32 / $24.64 / $24.64
| Facility | | $21.32 | $24.64 | $24.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.25 / $28.89 / $57.14
| Professional | | $21.25 | $28.89 | $57.14 |