- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $54.55 / $88.53
| Facility | | $14.25 | $54.55 | $88.53 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.88 / $13.57 / $27.34
| Professional | | $8.88 | $13.57 | $27.34 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $10.06 / $10.06
| Professional | | $10.06 | $10.06 | $10.06 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $73.19 / $95.04 / $8,639.91
| Facility | | $73.19 | $95.04 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $13.07
| Professional | | $13.07 | $13.07 | $13.07 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.02 / $21.78 / $55.42
| Facility | | $11.02 | $21.78 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $19.19 / $26.23
| Professional | | $9.47 | $19.19 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.71 / $10.75 / $22.69
| Professional | | $7.71 | $10.75 | $22.69 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $23.70 / $44.55 / $86.17
| Facility | | $23.70 | $44.55 | $86.17 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.03 / $14.00 / $14.25
| Professional | | $12.03 | $14.00 | $14.25 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.25 / $45.57 / $125.50
| Facility | | $14.25 | $45.57 | $125.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.57 / $13.66 / $69.22
| Professional | | $12.57 | $13.66 | $69.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $215.36 / $215.36 / $270.93
| Facility | | $215.36 | $215.36 | $270.93 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.22 / $22.90 / $55.42
| Facility | | $11.22 | $22.90 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.47 / $19.19 / $26.23
| Professional | | $9.47 | $19.19 | $26.23 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $20.66 / $20.66 / $20.66
| Professional | | $20.66 | $20.66 | $20.66 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.06 / $16.76 / $28.52
| Professional | | $10.06 | $16.76 | $28.52 |