- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.89 / $118.23 / $207.94
| Facility | | $24.89 | $118.23 | $207.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.42 / $26.21 / $33.67
| Professional | | $23.42 | $26.21 | $33.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $17.57 / $17.57
| Professional | | $17.57 | $17.57 | $17.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $147.62 / $191.69 / $8,639.91
| Facility | | $147.62 | $191.69 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.84 / $22.84 / $22.84
| Professional | | $22.84 | $22.84 | $22.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.25 / $38.99 / $96.71
| Facility | | $19.25 | $38.99 | $96.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.32 / $33.86 / $51.20
| Professional | | $18.32 | $33.86 | $51.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.47 / $23.42 / $39.65
| Professional | | $13.47 | $23.42 | $39.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.47 / $78.76 / $149.09
| Facility | | $43.47 | $78.76 | $149.09 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.57 / $22.79 / $28.00
| Professional | | $17.57 | $22.79 | $28.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.89 / $92.50 / $241.96
| Facility | | $24.89 | $92.50 | $241.96 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.96 / $26.35 / $101.05
| Professional | | $21.96 | $26.35 | $101.05 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.60 / $44.47 / $96.71
| Facility | | $19.60 | $44.47 | $96.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.32 / $33.86 / $51.20
| Professional | | $18.32 | $33.86 | $51.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.28 / $29.28 / $29.28
| Facility | | $29.28 | $29.28 | $29.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.77 / $29.28 / $41.67
| Professional | | $25.77 | $29.28 | $41.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $18.73 / $51.29
| Professional | | $13.18 | $18.73 | $51.29 |