- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $19.88 / $69.15 / $194.48
| Facility | | $19.88 | $69.15 | $194.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.98 / $16.86 / $134.63
| Professional | | $13.98 | $16.86 | $134.63 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $22.94 / $50.51 / $293.00
| Facility | | $22.94 | $50.51 | $293.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $9.30 / $10.93 / $38.61
| Professional | | $9.30 | $10.93 | $38.61 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $46.70 / $87.40 / $242.05
| Facility | | $46.70 | $87.40 | $242.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.11 / $11.60 / $51.04
| Professional | | $8.11 | $11.60 | $51.04 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $13.61 / $27.49 / $69.05
| Facility | | $13.61 | $27.49 | $69.05 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.31 / $24.37 / $37.35
| Professional | | $12.31 | $24.37 | $37.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.16 / $20.94 / $33.50
| Professional | | $12.16 | $20.94 | $33.50 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.75 / $20.94 / $45.65
| Professional | | $16.75 | $20.94 | $45.65 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $93.28 / $118.61 / $118.61
| Facility | | $93.28 | $118.61 | $118.61 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $10.47 / $10.47
| Professional | | $10.47 | $10.47 | $10.47 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.66 / $23.41 / $61.83
| Facility | | $14.66 | $23.41 | $61.83 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.91 / $20.94 / $40.76
| Professional | | $13.91 | $20.94 | $40.76 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $73.48 / $73.48 / $73.48
| Professional | | $73.48 | $73.48 | $73.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.75 / $18.85 / $24.42
| Professional | | $16.75 | $18.85 | $24.42 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.78 / $11.33 / $36.40
| Professional | | $8.78 | $11.33 | $36.40 |