- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.59 / $44.10 / $116.07
| Facility | | $17.59 | $44.10 | $116.07 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.18 / $20.12 / $23.64
| Professional | | $14.18 | $20.12 | $23.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.89 / $14.18 / $14.18
| Professional | | $13.89 | $14.18 | $14.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.31 / $76.59 / $132.38
| Facility | | $29.31 | $76.59 | $132.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.00 / $12.53 / $21.28
| Professional | | $5.00 | $12.53 | $21.28 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.64 / $37.82 / $136.94
| Facility | | $23.64 | $37.82 | $136.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.55 / $22.66 / $35.46
| Professional | | $16.55 | $22.66 | $35.46 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.64 / $24.00 / $24.00
| Facility | | $23.64 | $24.00 | $24.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.52 / $51.07 / $116.36
| Facility | | $16.52 | $51.07 | $116.36 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $16.97 / $38.84
| Professional | | $12.53 | $16.97 | $38.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $55.00 / $112.29 / $112.29
| Facility | | $55.00 | $112.29 | $112.29 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.91 / $23.64 / $30.73
| Facility | | $18.91 | $23.64 | $30.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $22.31 / $23.64 / $26.70
| Professional | | $22.31 | $23.64 | $26.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.91 / $23.64 / $58.19
| Facility | | $18.91 | $23.64 | $58.19 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $18.00 / $29.70
| Professional | | $12.53 | $18.00 | $29.70 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.93 / $13.58 / $19.88
| Professional | | $9.93 | $13.58 | $19.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.22 / $11.43 / $23.64
| Professional | | $9.22 | $11.43 | $23.64 |