- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $20.55 / $88.05 / $118.30
| Facility | | $20.55 | $88.05 | $118.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $19.10 / $21.61 / $24.18
| Professional | | $19.10 | $21.61 | $24.18 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $121.96 / $158.37 / $8,639.91
| Facility | | $121.96 | $158.37 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.86 / $18.86 / $18.86
| Professional | | $18.86 | $18.86 | $18.86 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.89 / $32.21 / $80.41
| Facility | | $15.89 | $32.21 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.22 / $28.08 / $42.31
| Professional | | $15.22 | $28.08 | $42.31 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.12 / $17.68 / $32.74
| Professional | | $11.12 | $17.68 | $32.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $44.00 / $78.42 / $128.60
| Facility | | $44.00 | $78.42 | $128.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.51 / $18.76 / $23.00
| Professional | | $14.51 | $18.76 | $23.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.61 / $64.00 / $131.72
| Facility | | $22.61 | $64.00 | $131.72 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $17.41 / $21.65 / $83.45
| Professional | | $17.41 | $21.65 | $83.45 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.19 / $36.72 / $80.41
| Facility | | $16.19 | $36.72 | $80.41 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.22 / $28.08 / $42.31
| Professional | | $15.22 | $28.08 | $42.31 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.18 / $24.18 / $24.18
| Facility | | $24.18 | $24.18 | $24.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.28 / $24.18 / $34.43
| Professional | | $21.28 | $24.18 | $34.43 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.88 / $15.48 / $44.25
| Professional | | $10.88 | $15.48 | $44.25 |