- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $54.95 / $169.82
| Facility | | $23.44 | $54.95 | $169.82 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $14.13 / $123.03
| Professional | | $12.02 | $14.13 | $123.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $89.13
| Facility | | $13.80 | $21.38 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $18.62 / $38.90
| Professional | | $11.22 | $18.62 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $23.44 / $37.15
| Facility | | $18.62 | $23.44 | $37.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $17.38 / $18.20
| Professional | | $17.38 | $17.38 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $13.80 / $30.20
| Facility | | $12.30 | $13.80 | $30.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $22.91 / $28.18
| Professional | | $10.47 | $22.91 | $28.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.18 / $4,897.79 / $9,772.37
| Facility | | $83.18 | $4,897.79 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.92 / $26.92 / $31.62
| Professional | | $26.92 | $26.92 | $31.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $39.81
| Professional | | $18.62 | $18.62 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.44 / $46.77 / $112.20
| Facility | | $23.44 | $46.77 | $112.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $21.38 / $89.13
| Facility | | $13.80 | $21.38 | $89.13 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $18.62 / $38.90
| Professional | | $11.22 | $18.62 | $38.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.80 / $13.80 / $26.30
| Facility | | $13.80 | $13.80 | $26.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.55 / $18.62 / $22.39
| Facility | | $9.55 | $18.62 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.32 / $14.45 / $40.74
| Professional | | $8.32 | $14.45 | $40.74 |