- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $8.03 / $21.19
| Facility | | $8.03 | $8.03 | $21.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.37 / $13.83 / $25.30
| Professional | | $7.37 | $13.83 | $25.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.32 / $26.76 / $74.72
| Professional | | $10.32 | $26.76 | $74.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $63.08 / $73.70 / $97.97
| Facility | | $63.08 | $73.70 | $97.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.72 / $21.68 / $66.11
| Professional | | $11.72 | $21.68 | $66.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $18.91 / $32.42
| Facility | | $8.03 | $18.91 | $32.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $14.55 / $14.55
| Professional | | $14.55 | $14.55 | $14.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $18.91 / $33.13
| Facility | | $8.03 | $18.91 | $33.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.64 / $47.00 / $146.43
| Professional | | $22.64 | $47.00 | $146.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.72 / $33.62 / $69.48
| Professional | | $20.72 | $33.62 | $69.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.03 / $19.07 / $33.02
| Facility | | $8.03 | $19.07 | $33.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.55 / $14.55 / $14.55
| Professional | | $14.55 | $14.55 | $14.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.98 / $30.22 / $74.31
| Professional | | $17.98 | $30.22 | $74.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $16.66 / $44.09
| Facility | | $11.66 | $16.66 | $44.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.83 / $82.48 / $146.43
| Professional | | $20.83 | $82.48 | $146.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.89 / $33.10 / $69.26
| Professional | | $14.89 | $33.10 | $69.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.64 / $39.72 / $82.54
| Professional | | $22.64 | $39.72 | $82.54 |