- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.85 / $65.67 / $346.46
| Facility | | $14.85 | $65.67 | $346.46 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $11.67 / $16.00 / $75.55
| Professional | | $11.67 | $16.00 | $75.55 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $10.00 / $10.00
| Professional | | $10.00 | $10.00 | $10.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $84.07 / $109.17 / $8,639.91
| Facility | | $84.07 | $109.17 | $8,639.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.00 / $13.00 / $13.00
| Professional | | $13.00 | $13.00 | $13.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $22.21 / $55.42
| Facility | | $10.96 | $22.21 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $19.41 / $29.20
| Professional | | $10.41 | $19.41 | $29.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.67 / $13.34 / $22.57
| Professional | | $7.67 | $13.34 | $22.57 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $25.21 / $43.47 / $107.60
| Facility | | $25.21 | $43.47 | $107.60 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $16.00 / $16.00
| Professional | | $10.00 | $16.00 | $16.00 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.17 / $57.51 / $281.25
| Facility | | $14.17 | $57.51 | $281.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.84 / $15.10 / $72.65
| Professional | | $10.84 | $15.10 | $72.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.17 / $25.33 / $55.42
| Facility | | $11.17 | $25.33 | $55.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.41 / $19.41 / $29.20
| Professional | | $10.41 | $19.41 | $29.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.67 / $16.67 / $16.67
| Facility | | $16.67 | $16.67 | $16.67 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $14.67 / $16.67 / $23.73
| Professional | | $14.67 | $16.67 | $23.73 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.00 / $10.67 / $29.21
| Professional | | $7.00 | $10.67 | $29.21 |