- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.23 / $15.60 / $22.76
| Facility | | $13.23 | $15.60 | $22.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.24 / $14.01 / $32.79
| Professional | | $11.24 | $14.01 | $32.79 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.18 / $62.32 / $62.32
| Facility | | $11.18 | $62.32 | $62.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.38 / $27.88 / $80.58
| Professional | | $14.38 | $27.88 | $80.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.55 / $18.29 / $18.46
| Facility | | $14.55 | $18.29 | $18.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.57 / $25.77 / $34.97
| Professional | | $18.57 | $25.77 | $34.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $16.98
| Facility | | $16.98 | $16.98 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.73 / $22.85 / $36.00
| Professional | | $14.73 | $22.85 | $36.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.31 / $12.95 / $13.18
| Facility | | $12.31 | $12.95 | $13.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.89 / $13.64 / $25.61
| Professional | | $8.89 | $13.64 | $25.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.12 / $32.84 / $41.85
| Professional | | $17.12 | $32.84 | $41.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.00 / $34.54 / $35.22
| Professional | | $20.00 | $34.54 | $35.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $62.32 / $62.32 / $62.32
| Facility | | $62.32 | $62.32 | $62.32 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.41 / $27.69 / $93.56
| Professional | | $16.41 | $27.69 | $93.56 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.38 / $23.29 / $43.16
| Professional | | $16.38 | $23.29 | $43.16 |