- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.05 / $44.22 / $72.53
| Facility | | $14.05 | $44.22 | $72.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.70 / $15.50 / $15.74
| Professional | | $13.70 | $15.50 | $15.74 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $87.45 / $113.56 / $8,639.91
| Facility | | $87.45 | $113.56 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.53 / $13.53 / $13.53
| Professional | | $13.53 | $13.53 | $13.53 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.40 / $23.09 / $57.59
| Facility | | $11.40 | $23.09 | $57.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $20.23 / $30.47
| Professional | | $10.87 | $20.23 | $30.47 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.98 / $10.23 / $23.48
| Professional | | $7.98 | $10.23 | $23.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $53.33 / $53.33 / $53.33
| Facility | | $53.33 | $53.33 | $53.33 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.74 / $47.15 / $72.53
| Facility | | $14.74 | $47.15 | $72.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.48 / $15.53 / $71.61
| Professional | | $12.48 | $15.53 | $71.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.61 / $26.33 / $57.59
| Facility | | $11.61 | $26.33 | $57.59 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.87 / $20.23 / $30.47
| Professional | | $10.87 | $20.23 | $30.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $17.34 / $17.34 / $17.34
| Facility | | $17.34 | $17.34 | $17.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $15.26 / $17.34 / $24.69
| Professional | | $15.26 | $17.34 | $24.69 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.80 / $11.27 / $30.17
| Professional | | $7.80 | $11.27 | $30.17 |