- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.76 / $44.33 / $328.94
| Facility | | $12.76 | $44.33 | $328.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.11 / $13.96 / $20.23
| Professional | | $10.11 | $13.96 | $20.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.10 / $10.11 / $10.11
| Professional | | $8.10 | $10.11 | $10.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.89 / $53.82 / $99.53
| Facility | | $18.89 | $53.82 | $99.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $8.94 / $15.01
| Professional | | $5.00 | $8.94 | $15.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.87 / $26.15 / $61.16
| Facility | | $16.87 | $26.15 | $61.16 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.49 / $16.87 / $16.87
| Facility | | $11.49 | $16.87 | $16.87 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.79 / $36.86 / $75.51
| Facility | | $11.79 | $36.86 | $75.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.27 / $28.45
| Professional | | $8.94 | $12.27 | $28.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $227.22 / $288.89 / $341.00
| Facility | | $227.22 | $288.89 | $341.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.65 / $16.87 / $21.93
| Facility | | $12.65 | $16.87 | $21.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.18 / $16.87 / $21.98
| Professional | | $15.18 | $16.87 | $21.98 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $83.98 / $108.64 / $300.52
| Facility | | $83.98 | $108.64 | $300.52 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.82 / $16.87 / $46.60
| Facility | | $12.82 | $16.87 | $46.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.94 / $12.97 / $24.37
| Professional | | $8.94 | $12.97 | $24.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.09 / $9.66 / $14.50
| Professional | | $7.09 | $9.66 | $14.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $6.58 / $8.33 / $16.87
| Professional | | $6.58 | $8.33 | $16.87 |