- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $66.23 / $280.27 / $720.90
| Facility | | $66.23 | $280.27 | $720.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.27 / $12.58 / $80.29
| Professional | | $10.27 | $12.58 | $80.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.08 / $15.09 / $39.78
| Professional | | $10.08 | $15.09 | $39.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.69 / $13.36 / $16.19
| Facility | | $10.69 | $13.36 | $16.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.32 / $11.76 / $21.30
| Professional | | $9.32 | $11.76 | $21.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $31.54 / $36.86 / $56.54
| Facility | | $31.54 | $36.86 | $56.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.74 / $24.47 / $32.43
| Professional | | $12.74 | $24.47 | $32.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.75 / $12.89 / $22.84
| Facility | | $10.75 | $12.89 | $22.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.58 / $14.29 / $123.35
| Facility | | $10.58 | $14.29 | $123.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.98 / $17.98 / $90.00
| Professional | | $10.98 | $17.98 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $36.47 / $65.00 / $85.00
| Professional | | $36.47 | $65.00 | $85.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.82 / $12.89 / $22.84
| Facility | | $10.82 | $12.89 | $22.84 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.44 / $28.51 / $39.60
| Professional | | $19.44 | $28.51 | $39.60 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $90.00 / $90.00 / $90.00
| Facility | | $90.00 | $90.00 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $48.29 / $90.00
| Professional | | $12.88 | $48.29 | $90.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.07 / $43.93 / $43.93
| Professional | | $16.07 | $43.93 | $43.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.85 / $17.85 / $37.69
| Professional | | $10.85 | $17.85 | $37.69 |