- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.32 / $44.73 / $68.81
| Facility | | $13.32 | $44.73 | $68.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.00 / $14.64 / $14.92
| Professional | | $13.00 | $14.64 | $14.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.03 / $107.82 / $8,639.91
| Facility | | $83.03 | $107.82 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.83 / $12.83 / $12.83
| Professional | | $12.83 | $12.83 | $12.83 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.81 / $21.90 / $54.33
| Facility | | $10.81 | $21.90 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.57 / $9.71 / $22.27
| Professional | | $7.57 | $9.71 | $22.27 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $51.77 / $70.13 / $101.02
| Facility | | $51.77 | $70.13 | $101.02 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.86 / $9.86 / $9.86
| Professional | | $9.86 | $9.86 | $9.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.98 / $43.89 / $68.81
| Facility | | $13.98 | $43.89 | $68.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.84 / $14.73 / $67.94
| Professional | | $11.84 | $14.73 | $67.94 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.01 / $25.00 / $54.33
| Facility | | $11.01 | $25.00 | $54.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.25 / $19.00 / $28.77
| Professional | | $10.25 | $19.00 | $28.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.45 / $16.45 / $16.45
| Facility | | $16.45 | $16.45 | $16.45 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.48 / $16.45 / $23.43
| Professional | | $14.48 | $16.45 | $23.43 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.81 / $19.73 / $19.73
| Facility | | $14.81 | $19.73 | $19.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.91 / $10.69 / $30.10
| Professional | | $6.91 | $10.69 | $30.10 |