- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.10 / $33.46 / $80.73
| Facility | | $15.10 | $33.46 | $80.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.88 / $13.38 / $15.10
| Professional | | $9.88 | $13.38 | $15.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $64.38 / $83.61 / $8,639.91
| Facility | | $64.38 | $83.61 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.54 / $14.54 / $14.54
| Professional | | $14.54 | $14.54 | $14.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.25 / $23.71 / $55.72
| Facility | | $12.25 | $23.71 | $55.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $8.78 / $23.48
| Professional | | $8.78 | $8.78 | $23.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.57 / $11.00 / $25.24
| Professional | | $8.57 | $11.00 | $25.24 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.85 / $49.58 / $357.83
| Facility | | $8.85 | $49.58 | $357.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.18 / $11.18 / $13.05
| Professional | | $11.18 | $11.18 | $13.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.83 / $44.04 / $81.54
| Facility | | $15.83 | $44.04 | $81.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.23 / $14.54 / $76.98
| Professional | | $12.23 | $14.54 | $76.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.99 / $22.98 / $61.94
| Facility | | $12.99 | $22.98 | $61.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $21.04 / $26.85
| Professional | | $8.78 | $21.04 | $26.85 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.64 / $18.64 / $20.50
| Facility | | $18.64 | $18.64 | $20.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.39 / $18.64 / $20.50
| Professional | | $16.39 | $18.64 | $20.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.78 / $22.37 / $22.37
| Facility | | $16.78 | $22.37 | $22.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.83 / $11.18 / $31.69
| Professional | | $7.83 | $11.18 | $31.69 |