- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.72 / $66.45 / $186.80
| Facility | | $21.72 | $66.45 | $186.80 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.54 / $15.04 / $30.08
| Professional | | $13.54 | $15.04 | $30.08 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $10.02 / $10.02
| Professional | | $10.02 | $10.02 | $10.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.31 / $109.48 / $8,639.91
| Facility | | $84.31 | $109.48 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.03 / $13.03 / $13.03
| Professional | | $13.03 | $13.03 | $13.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.99 / $22.25 / $55.42
| Facility | | $10.99 | $22.25 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.20
| Professional | | $10.56 | $19.41 | $29.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.69 / $13.37 / $22.63
| Professional | | $7.69 | $13.37 | $22.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.31 / $44.56 / $102.79
| Facility | | $25.31 | $44.56 | $102.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.02 / $16.00 / $16.00
| Professional | | $10.02 | $16.00 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.71 / $62.71 / $189.48
| Facility | | $15.71 | $62.71 | $189.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.53 / $15.04 / $42.17
| Professional | | $12.53 | $15.04 | $42.17 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.19 / $25.39 / $55.42
| Facility | | $11.19 | $25.39 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.56 / $19.41 / $29.20
| Professional | | $10.56 | $19.41 | $29.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.71 / $16.71 / $16.71
| Facility | | $16.71 | $16.71 | $16.71 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.70 / $16.71 / $23.79
| Professional | | $14.70 | $16.71 | $23.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.02 / $10.69 / $29.29
| Professional | | $7.02 | $10.69 | $29.29 |