- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.14 / $77.34 / $103.57
| Facility | | $19.14 | $77.34 | $103.57 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $20.57 / $22.69
| Professional | | $15.37 | $20.57 | $22.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $14.18 / $17.01
| Professional | | $14.18 | $14.18 | $17.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $102.72 / $133.38 / $8,639.91
| Facility | | $102.72 | $133.38 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.44 / $18.44 / $18.44
| Professional | | $18.44 | $18.44 | $18.44 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.53 / $31.49 / $78.23
| Facility | | $15.53 | $31.49 | $78.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $27.26 / $40.61
| Professional | | $14.44 | $27.26 | $40.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $15.96 / $32.01
| Professional | | $10.87 | $15.96 | $32.01 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.98 / $58.75 / $101.93
| Facility | | $19.98 | $58.75 | $101.93 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $16.84 / $20.10
| Professional | | $14.18 | $16.84 | $20.10 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.02 / $60.27 / $130.27
| Facility | | $17.02 | $60.27 | $130.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.37 / $20.83 / $81.58
| Professional | | $15.37 | $20.83 | $81.58 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.83 / $35.15 / $78.23
| Facility | | $15.83 | $35.15 | $78.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.44 / $27.26 / $40.61
| Professional | | $14.44 | $27.26 | $40.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.64 / $23.64 / $23.64
| Facility | | $23.64 | $23.64 | $23.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.80 / $23.64 / $28.99
| Professional | | $20.80 | $23.64 | $28.99 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.64 / $14.18 / $41.13
| Professional | | $10.64 | $14.18 | $41.13 |