- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.01 / $60.42 / $119.85
| Facility | | $15.01 | $60.42 | $119.85 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.30 / $15.47 / $17.64
| Professional | | $14.30 | $15.47 | $17.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $10.59 / $10.59
| Professional | | $10.59 | $10.59 | $10.59 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $86.87 / $112.80 / $8,639.91
| Facility | | $86.87 | $112.80 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.77 / $13.77 / $13.77
| Professional | | $13.77 | $13.77 | $13.77 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.60 / $23.50 / $58.68
| Facility | | $11.60 | $23.50 | $58.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $20.65 / $30.47
| Professional | | $10.87 | $20.65 | $30.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $12.63 / $23.90
| Professional | | $8.11 | $12.63 | $23.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $28.39 / $46.91 / $106.27
| Facility | | $28.39 | $46.91 | $106.27 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.59 / $15.01 / $16.50
| Professional | | $10.59 | $15.01 | $16.50 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.00 / $56.69 / $128.26
| Facility | | $15.00 | $56.69 | $128.26 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.23 / $15.47 / $60.92
| Professional | | $13.23 | $15.47 | $60.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.81 / $26.30 / $58.68
| Facility | | $11.81 | $26.30 | $58.68 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $20.65 / $30.47
| Professional | | $10.87 | $20.65 | $30.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.64 / $17.64 / $17.64
| Facility | | $17.64 | $17.64 | $17.64 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.53 / $17.64 / $24.52
| Professional | | $15.53 | $17.64 | $24.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $11.30 / $35.52
| Professional | | $7.41 | $11.30 | $35.52 |