- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $40.74 / $40.74
| Facility | | $16.98 | $40.74 | $40.74 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $12.02 / $16.98
| Professional | | $10.00 | $12.02 | $16.98 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.61 / $6.61 / $51.29
| Professional | | $6.61 | $6.61 | $51.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $40.74 / $47.86 / $75.86
| Facility | | $40.74 | $47.86 | $75.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $37.15 / $46.77
| Professional | | $16.98 | $37.15 | $46.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $61.66 / $93.33
| Facility | | $16.22 | $61.66 | $93.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $89.13 / $89.13 / $100.00
| Professional | | $89.13 | $89.13 | $100.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $17.78 / $52.48
| Facility | | $13.49 | $17.78 | $52.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.76 / $8.91 / $74.13
| Professional | | $6.76 | $8.91 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $64.57 / $85.11
| Professional | | $7.41 | $64.57 | $85.11 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.99 / $34.67 / $47.86
| Professional | | $23.99 | $34.67 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.51 / $70.79 / $70.79
| Facility | | $29.51 | $70.79 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.38 / $74.13 / $74.13
| Professional | | $21.38 | $74.13 | $74.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $31.62 / $31.62 / $31.62
| Professional | | $31.62 | $31.62 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $43.65 / $81.28 / $112.20
| Professional | | $43.65 | $81.28 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.02 / $12.02 / $17.78
| Facility | | $12.02 | $12.02 | $17.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.31 / $8.91 / $24.55
| Professional | | $6.31 | $8.91 | $24.55 |