- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.49 / $42.66 / $125.89
| Facility | | $15.49 | $42.66 | $125.89 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.00 / $14.13 / $50.12
| Professional | | $10.00 | $14.13 | $50.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.20 / $18.20 / $47.86
| Facility | | $18.20 | $18.20 | $47.86 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.41 / $7.41 / $35.48
| Professional | | $7.41 | $7.41 | $35.48 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $10.96 / $18.20 / $18.20
| Facility | | $10.96 | $18.20 | $18.20 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.49 / $18.20 / $18.20
| Professional | | $13.49 | $18.20 | $18.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $14.13 / $39.81 / $147.91
| Facility | | $14.13 | $39.81 | $147.91 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $10.47 / $21.88 / $91.20
| Professional | | $10.47 | $21.88 | $91.20 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.46 / $18.20 / $50.12
| Facility | | $6.46 | $18.20 | $50.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.71 / $12.88 / $35.48
| Professional | | $8.71 | $12.88 | $35.48 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.59 / $17.38 / $21.88
| Professional | | $12.59 | $17.38 | $21.88 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.85 / $47.86 / $158.49
| Facility | | $15.85 | $47.86 | $158.49 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $16.98 / $34.67 / $50,118.72
| Facility | | $16.98 | $34.67 | $50,118.72 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $9.33 / $16.60 / $21.88
| Facility | | $9.33 | $16.60 | $21.88 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.76 / $10.72 / $27.54
| Professional | | $7.76 | $10.72 | $27.54 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $11.75 / $21.38 / $43.65
| Facility | | $11.75 | $21.38 | $43.65 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $12.88 / $18.20 / $50.12
| Professional | | $12.88 | $18.20 | $50.12 |