- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.55 / $41.26 / $132.97
| Facility | | $18.55 | $41.26 | $132.97 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.63 / $12.09 / $15.66
| Professional | | $11.63 | $12.09 | $15.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.35 / $26.11 / $71.55
| Facility | | $12.35 | $26.11 | $71.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $13.54 / $32.97
| Professional | | $8.11 | $13.54 | $32.97 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.66 / $37.68 / $65.88
| Facility | | $23.66 | $37.68 | $65.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.73 / $12.73 / $17.32
| Professional | | $12.73 | $12.73 | $17.32 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.46 / $20.12 / $46.31
| Facility | | $9.46 | $20.12 | $46.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $14.98 / $23.05
| Professional | | $8.11 | $14.98 | $23.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $49.52 / $3,472.00 / $9,239.00
| Facility | | $49.52 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.60 / $19.60 / $23.06
| Professional | | $19.60 | $19.60 | $23.06 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $18.77 / $50.42
| Professional | | $13.54 | $18.77 | $50.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.81 / $17.64 / $160.55
| Facility | | $15.81 | $17.64 | $160.55 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.11 / $71.55 / $71.55
| Facility | | $26.11 | $71.55 | $71.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $9.09 / $28.59
| Professional | | $6.50 | $9.09 | $28.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.54 / $15.38 / $24.73
| Facility | | $13.54 | $15.38 | $24.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.94 / $13.98 / $17.14
| Professional | | $11.94 | $13.98 | $17.14 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.50 / $9.44 / $25.81
| Professional | | $6.50 | $9.44 | $25.81 |