- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.26 / $58.20 / $100.51
| Facility | | $26.26 | $58.20 | $100.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.83 / $14.32 / $17.51
| Professional | | $13.83 | $14.32 | $17.51 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.51 / $32.31 / $75.62
| Facility | | $14.51 | $32.31 | $75.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.14 / $15.92 / $38.78
| Professional | | $10.14 | $15.92 | $38.78 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $4.97 / $42.68 / $77.33
| Facility | | $4.97 | $42.68 | $77.33 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.96 / $14.96 / $18.96
| Professional | | $14.96 | $14.96 | $18.96 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.13 / $24.01 / $54.34
| Facility | | $11.13 | $24.01 | $54.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.36 / $18.17 / $59.89
| Professional | | $9.36 | $18.17 | $59.89 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.94 / $65.68 / $6,679.00
| Facility | | $18.94 | $65.68 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.23 / $20.97 / $26.91
| Professional | | $16.23 | $20.97 | $26.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.92 / $22.07 / $63.04
| Professional | | $15.92 | $22.07 | $63.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.12 / $19.30 / $46.47
| Facility | | $17.12 | $19.30 | $46.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $32.31 / $75.62 / $75.62
| Facility | | $32.31 | $75.62 | $75.62 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $15.92 / $31.28
| Professional | | $8.68 | $15.92 | $31.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.74 / $20.10 / $37.34
| Facility | | $14.74 | $20.10 | $37.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.04 / $15.44 / $18.75
| Professional | | $14.04 | $15.44 | $18.75 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.68 / $15.92 / $28.48
| Professional | | $8.68 | $15.92 | $28.48 |