- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $42.66 / $67.61
| Facility | | $22.39 | $42.66 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.85 / $19.05 / $33.11
| Professional | | $15.85 | $19.05 | $33.11 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.39 / $22.39 / $58.88
| Facility | | $22.39 | $22.39 | $58.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.22 / $11.48 / $52.48
| Professional | | $11.22 | $11.48 | $52.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $22.39 / $22.39
| Facility | | $13.49 | $22.39 | $22.39 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.60 / $22.39 / $22.39
| Professional | | $16.60 | $22.39 | $22.39 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $48.98 / $245.47
| Facility | | $16.98 | $48.98 | $245.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.79 / $32.36 / $147.91
| Professional | | $14.79 | $32.36 | $147.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $12.59 / $25.70 / $61.66
| Facility | | $12.59 | $25.70 | $61.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $15.85 / $43.65
| Professional | | $10.47 | $15.85 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $22.39 / $28.84
| Professional | | $19.05 | $22.39 | $28.84 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.81 / $39.81 / $39.81
| Facility | | $39.81 | $39.81 | $39.81 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.92 / $42.66 / $50,118.72
| Facility | | $26.92 | $42.66 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.49 / $20.42 / $26.92
| Facility | | $13.49 | $20.42 | $26.92 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.55 / $13.49 / $42.66
| Professional | | $9.55 | $13.49 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $25.70 / $67.61
| Facility | | $18.62 | $25.70 | $67.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.05 / $23.44 / $77.62
| Professional | | $19.05 | $23.44 | $77.62 |