- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.20 / $15.53 / $24.62
| Facility | | $14.20 | $15.53 | $24.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.99 / $23.33 / $38.00
| Professional | | $15.99 | $23.33 | $38.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.01 / $30.98 / $34.25
| Professional | | $21.01 | $30.98 | $34.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.28 / $25.75 / $37.15
| Professional | | $19.28 | $25.75 | $37.15 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $33.54 / $33.54 / $33.54
| Facility | | $33.54 | $33.54 | $33.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $33.54 / $33.54 / $37.36
| Professional | | $33.54 | $33.54 | $37.36 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.26 / $40.26 / $40.26
| Facility | | $40.26 | $40.26 | $40.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $29.16 / $29.16 / $45.72
| Professional | | $29.16 | $29.16 | $45.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.74 / $22.74 / $319.00
| Facility | | $22.74 | $22.74 | $319.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $34.11 / $45.68 / $66.81
| Professional | | $34.11 | $45.68 | $66.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.38 / $22.38 / $30.79
| Facility | | $22.38 | $22.38 | $30.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.86 / $30.79 / $47.27
| Professional | | $19.86 | $30.79 | $47.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.26 / $40.26 / $555.00
| Facility | | $40.26 | $40.26 | $555.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.58 / $29.16 / $62.41
| Professional | | $22.58 | $29.16 | $62.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.70 / $30.28 / $78.87
| Professional | | $22.70 | $30.28 | $78.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.36 / $24.36 / $30.79
| Facility | | $24.36 | $24.36 | $30.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.59 / $30.79 / $51.51
| Professional | | $22.59 | $30.79 | $51.51 |