- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $24.55 / $52.48 / $141.25
| Facility | | $24.55 | $52.48 | $141.25 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.02 / $16.98 / $120.23
| Professional | | $12.02 | $16.98 | $120.23 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $25.70 / $87.10
| Facility | | $16.60 | $25.70 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $38.02
| Professional | | $10.96 | $18.20 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $35.48 / $44.67 / $70.79
| Facility | | $35.48 | $44.67 | $70.79 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $16.98 / $16.98 / $22.91
| Professional | | $16.98 | $16.98 | $22.91 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $28.84 / $69.18
| Facility | | $14.13 | $28.84 | $69.18 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.18 / $21.88 / $30.90
| Professional | | $13.18 | $21.88 | $30.90 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $26.30 / $3,630.78 / $9,772.37
| Facility | | $26.30 | $3,630.78 | $9,772.37 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $26.30 / $26.30 / $30.90
| Professional | | $26.30 | $26.30 | $30.90 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $54.95
| Professional | | $18.20 | $18.20 | $54.95 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.22 / $23.44 / $42.66
| Facility | | $16.22 | $23.44 | $42.66 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.60 / $25.70 / $87.10
| Facility | | $16.60 | $25.70 | $87.10 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $38.02
| Professional | | $10.96 | $18.20 | $38.02 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.62 / $18.62 / $25.70
| Facility | | $18.62 | $18.62 | $25.70 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.23 / $18.20 / $29.51
| Facility | | $10.23 | $18.20 | $29.51 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.91 / $15.14 / $42.66
| Professional | | $8.91 | $15.14 | $42.66 |