- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.77 / $66.41 / $148.68
| Facility | | $23.77 | $66.41 | $148.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $21.43 / $21.75 / $23.77
| Professional | | $21.43 | $21.75 | $23.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.76 / $46.69 / $141.15
| Facility | | $22.76 | $46.69 | $141.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.97 / $24.95 / $60.77
| Professional | | $14.97 | $24.95 | $60.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $43.72 / $69.63 / $121.73
| Facility | | $43.72 | $69.63 | $121.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $23.45 / $23.45 / $31.92
| Professional | | $23.45 | $23.45 | $31.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.43 / $37.08 / $85.28
| Facility | | $17.43 | $37.08 | $85.28 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.99 / $27.60 / $42.03
| Professional | | $14.99 | $27.60 | $42.03 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $29.69 / $83.43 / $6,679.00
| Facility | | $29.69 | $83.43 | $6,679.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $25.45 / $32.86 / $42.29
| Professional | | $25.45 | $32.86 | $42.29 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $24.95 / $34.58 / $99.21
| Professional | | $24.95 | $34.58 | $99.21 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.44 / $31.19 / $87.66
| Facility | | $22.44 | $31.19 | $87.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.69 / $141.15 / $141.15
| Facility | | $46.69 | $141.15 | $141.15 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $15.75 / $52.68
| Professional | | $11.98 | $15.75 | $52.68 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.46 / $24.95 / $29.94
| Facility | | $22.46 | $24.95 | $29.94 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.98 / $15.75 / $47.56
| Professional | | $11.98 | $15.75 | $47.56 |