- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.66 / $47.37 / $99.22
| Facility | | $11.66 | $47.37 | $99.22 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $11.89 / $13.18
| Professional | | $10.71 | $11.89 | $13.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $69.22 / $89.88 / $8,639.91
| Facility | | $69.22 | $89.88 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.71 / $10.71 / $10.71
| Professional | | $10.71 | $10.71 | $10.71 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.02 / $18.27 / $45.64
| Facility | | $9.02 | $18.27 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $24.12
| Professional | | $8.53 | $15.69 | $24.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.32 / $10.61 / $18.59
| Professional | | $6.32 | $10.61 | $18.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.57 / $35.81 / $113.71
| Facility | | $20.57 | $35.81 | $113.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.24 / $13.00 / $13.00
| Professional | | $8.24 | $13.00 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.67 / $38.97 / $146.47
| Facility | | $11.67 | $38.97 | $146.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.30 / $11.98 / $56.70
| Professional | | $10.30 | $11.98 | $56.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.19 / $20.86 / $45.64
| Facility | | $9.19 | $20.86 | $45.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.53 / $15.69 / $24.12
| Professional | | $8.53 | $15.69 | $24.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.73 / $13.73 / $13.73
| Facility | | $13.73 | $13.73 | $13.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.08 / $13.73 / $17.82
| Professional | | $12.08 | $13.73 | $17.82 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.36 / $16.48 / $16.48
| Facility | | $12.36 | $16.48 | $16.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.18 / $9.02 / $29.71
| Professional | | $6.18 | $9.02 | $29.71 |