- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $38.90 / $61.66
| Facility | | $20.42 | $38.90 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $16.98 / $30.20
| Professional | | $15.14 | $16.98 | $30.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.42 / $20.42 / $53.70
| Facility | | $20.42 | $20.42 | $53.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.23 / $10.47 / $47.86
| Professional | | $10.23 | $10.47 | $47.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $20.42 / $20.42
| Facility | | $12.30 | $20.42 | $20.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.14 / $20.42 / $20.42
| Professional | | $15.14 | $20.42 | $20.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $43.65 / $218.78
| Facility | | $15.49 | $43.65 | $218.78 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $29.51 / $138.04
| Professional | | $13.49 | $29.51 | $138.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $24.55 / $57.54
| Facility | | $14.13 | $24.55 | $57.54 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $14.45 / $39.81
| Professional | | $9.55 | $14.45 | $39.81 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $20.42 / $27.54
| Professional | | $17.38 | $20.42 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $18.20
| Facility | | $18.20 | $18.20 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.70 / $38.90 / $50,118.72
| Facility | | $25.70 | $38.90 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.30 / $18.62 / $24.55
| Facility | | $12.30 | $18.62 | $24.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.30 / $30.90
| Professional | | $8.71 | $12.30 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.38 / $23.44 / $70.79
| Facility | | $17.38 | $23.44 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.38 / $21.38 / $75.86
| Professional | | $17.38 | $21.38 | $75.86 |